Scoliosis — a progressive lateral curvature of the spine — is a recognised complication in individuals living with Friedreich ataxia. Deciding how to manage it requires careful, structured assessment rather than a one-size-fits-all approach.

For people with Friedreich ataxia who develop scoliosis, the choice between conservative therapy and surgical intervention is nuanced. Evidence-based guidance specifically addresses this population and when each approach is or is not recommended.

Approach overview

The protocol covers the role of surgical correction in select individuals with Friedreich ataxia and scoliosis. Several patient-specific factors are integral to determining whether surgery is appropriate — the complete decision framework and recommended pathway are available in the full protocol.

References

DOI: 10.1186/s13023-022-02568-3

We suggest surgery should not be used over conservative therapy for individuals with scoliosis and Friedreich ataxia.

People with Friedreich ataxia with a scoliosis > 40° may be considered appropriate for surgical correction.

We recommend that age should be considered when contemplating scoliosis surgery for individuals with Friedreich ataxia.

We recommend stratifying individuals with Friedreich ataxia according to cardiac status when considering scoliosis surgery.

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Treatment of Friedreich Ataxia with Scoliosis (Spinal Curve)

Approach overview

References