HYBRID EVENT: You can participate in person at Boston, Massachusetts, USA or Virtually from your home or work.

8th Edition of International Conference on Neurology and Brain Disorders

October 19-21, 2023

October 19 -21, 2023 | Boston, Massachusetts, USA
INBC 2023

Stephen Onyancha Kamanda

Speaker at Neurology and Brain Disorders 2023 - Stephen Onyancha Kamanda
Kenyatta National Hospital, Kenya
Title : Management of adolescent idiopathic scoliosis in neurological disorder patient


Scoliosis is commonly described as a 3D spinal deformity resulting in a curvature of 10 degress or more with a rotational spin.
All the bones in the body have three cells that work together for the proper growth of the bone:
The osteocyte,cell that coordinates the osseous work
The osteoblast, in charge of adding calcium to the bone
The osteoclast, in charge of removing calcium from the bone.
For a balanced growth these three cells must work in coordination.
Sometimes , several factors may cause alterations in their work and lead to an asymmetric growth of the bone, in this case a vertebra.

Eighty five percent of people with scoliosis have the “idiopathic” type “idiopathic” means no known causes. It commonly affects adolescents as they complete the last major growth spurt. Idiopathic scoliosis frequently runs in families and may be due to genetic or hereditary influences. Sometimes it can be due to neurological disorder i.e. neuromuscular disorders, autism, brain tumors, Acute Spinal Cord Injury and cerebral palsy. Some neurological conditions are congenital, emerging before/after birth.

Idiopathic scoliosis may appear at any age but most often appears in early adolescence. At this age young people are reluctant to allow their bodies to be seen by parents and other adults.

In contrast to idiopathic scoliosis, there are several less common types of scoliosis which do have a known cause. These curves may be due to defects of spinal vertebrae already present at birth(“congenital scoliosis”), disorders of the central nervous system such as cerebral palsy, muscle diseases(muscular dystrophy), disorders of connective tissue(Marfan’s syndrome), and chromosome abnormality(Down’s Syndrome).

Other scoliosis risk factors include: issues with calcium, vitamin D, nutrition, psychological stress, growth and sleep hormones, and exercise type and level, as well as a low body mass index(BMI)

Management in case of neurological disorder , what should be done:
In 90% of cases, scoliotic curves are mild and don not require active treatment. Curves to be monitored for change by periodic examination and standing x-rays.
Factors that determine treatment.

Audience Take Away

  • To establish appropriate management of idiopathic scoliosis in a neurological disorder patient
  • Effectiveness of earlier management of scoliosis in a neurological disorder patient by use of the accepted mode of management
  • Goals associated with overall neurological disorder patient care
  • How to improve mobility, enhancing adaptability of neurological disorder patient


Stephen Onyancha Kamanda, studied Diploma in Orthopaedic Technology(prosthetics and Orthotics) from Kenya Medical Training College, Nairobi Campus, Kenya and graduated 2006. Did an in training on job basis(Rehabilitation of patients with Neurological Disorders) while working in Maua Methodist Hospital, Meru, Kenya 2007-2010, did further in job training in Kenyatta National Hospital for the same. In 2015 did and graduated on spinal orthotics course from Tanzania college of Orthopaedic Technology. To date still working in Kenyatta National Hospital, Nairobi, Kenya as Senior Orthopaedic Technologist.