Cerebral palsy (CP) is the most common motor disability in children. Estimated prevalence across the globe ranges from 1.5 to more than 4 per 1000 live births. Children with CP are prone to osteoporosis, a disease characterized by low bone mass and deterioration of bones. Bone fragility is associated with multiple risk factors, including nutritional problems, use of antiseizure medications, and limited mobilization, all of which can be present in children with CP. Osteoporotic bones are weaker and prone to low-trauma fractures. Fractures significantly affect the health of children with CP, causing pain, hospitalization, and missed days at school. The prevalence of osteoporosis, its risk factors and its natural history is poorly understood within the pediatric CP population. Also, no published guidelines currently describe required monitoring of osteoporosis during routine follow-up of CP children. The goal of our study is to determine the prevalence and predictors of osteoporosis in children with CP living in Manitoba. These findings could be used to improve osteoporosis prevention strategies in this high-risk population.
