Our New Spine and Scoliosis Center
Nemours Ranked 7th in the Nation for Kids' Orthopedics

U.S. News & World Report 2011-12 edition of “Best Children’s Hospitals” names Nemours/Alfred I. duPont Hospital for Children as 7th in the country for orthopedic specialty care.
Patient Story

Cerebral Palsy: Melissa
Melissa Pileiro is a former patient of Dr. Freeman Miller at Nemours/Alfred I. duPont Hospital for Children, and a journalism major at Rowan Universit...
Cerebral Palsy

Though sometimes thought to be a condition of the nerves or muscles, cerebral palsy (CP) is actually caused by abnormalities in the parts of the brain that control muscle movement. CP can include any one of a number of neurological disorders that permanently affects body movement and muscle coordination, but does not worsen over time. Common symptoms are:
- ataxia (unsteadiness)
- spasticity (stiff or tight muscles and exaggerated reflexes)
- walking with one foot or leg dragging
- walking on the toes
- a crouched or scissored gait
- muscle tone that is either too stiff or too floppy
CP symptoms can range from mild to severe, but they generally appear in infancy or early childhood, and typically before age three. Cerebral palsy can be caused by developmental brain malformation; brain injury before, during, or after birth; or brain infections such as bacterial meningitis or viral encephalitis.
The Nemours Difference
Children with complex conditions like CP often need to see many specialists, most of whom you’ll have access to here on the hospital campus. Usually a family can come and see orthopedic and other specialists on a single day.
We are prepared with a unified team of medical and support services for children of all ages. Our Cerebral Palsy Program offers the expertise of a wide array of pediatric medical and allied health professionals, including:
- a team of neurologists, psychologists, physical therapists, occupational therapists, and speech therapists
- an on-site clinical nurse specialist to coordinate all services
- a social worker and a nutritionist for consultation and treatment as needed
We’ll be with you every step of the way, working with your family and your child’s other doctors to ensure that your child is able to maintain maximum functionality while experiencing minimal pain and discomfort.
As a leader in the field, we have cared for children from many different states and beyond.
The Gait and Motion Analysis Lab at the Nemours/Alfred I. duPont Hospital for Children offers comprehensive analysis of a child’s walk to help determine the best possible treatment options.
For reducing muscle spasticity, many of our patients have benefited from the use of a Baclofen pump. This is a pump placed inside the abdomen that releases Baclofen, a muscle relaxant, into the area around the spinal cord.
Conditions We Treat
- cerebral palsy
- seizures
- poor nutrition
- spasticity
- drooling
- fractures
Services We Offer
- surgical management
- speech therapy evaluation and treatment
- occupational therapy evaluation and treatment
- physical therapy evaluation and treatment
- rehabilitation therapy evaluation and treatment
- hearing tests
- spasticity evaluation and treatment
- bracing
- on-site wheelchair, splint, and repair clinic
- gait analysis
Tissue Engineering & Regenerative Medicine (TERM) Lab
The Tissue Engineering & Regenerative Medicine (TERM) Lab investigates pediatric disorders affecting muscle. The overall goal is to improve health outcomes for children with acquired and congenital diseases associated with muscle malformation or malfunction, including skeletal muscle dysfunction in children with cerebral palsy (CP).
Cerebral palsy is among the most prevalent neurological diseases in children and a common cause of severe pediatric physical disability. Orthopedic surgeons at Nemours/Alfred I. duPont Hospital for Children, a leading center for the treatment of CP, follow more than 3,000 CP patients and perform more than 300 surgical procedures each year to treat the physical disabilities associated with CP.
Recent progress in the fields of molecular medicine, targeted pharmaceuticals, and cell regenerative therapies hold significant promise for the development of new approaches to treat a wide variety of disease.
The TERM lab work has shown that children with CP have disrupted neuromuscular junctions (NMJs), which are the final points of connection between the nervous system and muscles and the structures responsible for triggering controlled muscle contraction. Orthopedic surgeons at duPont Hospital and researchers within the TERM lab are evaluating muscle samples from Nemours’ patients with CP to determine the details of this disruption. Improvements in the understanding of NMJ structure/function will open the door to advanced therapies, including regenerative interventions for the CP population.
Resources from Nemours Kidshealth.org
Quick Links
Trusted Resources
- American Academy of Orthopaedic Surgeons (AAOS)
- American College of Sports Medicine (ACSM)
- American Physical Therapy Association (APTA)
- March of Dimes
- National Youth Sports Safety Foundation (NYSSF)
- Scoliosis Research Society
- Spina Bifida Association of America (SBA)
- United Cerebral Palsy (UCP)
- The National Lymphedema Network
