Outcome of single-event multilevel surgery in untreated cerebral palsy in a developing country.
نویسنده
چکیده
In developed countries, children with cerebral palsy are treated from the time of diagnosis. This is usually not the case in developing countries where such patients often present at an age when it is traditionally believed that if walking has not already commenced, it is unlikely to. This study reports the outcome of the surgical treatment of 85 spastic diplegic patients at a mean of 8.5 years (5 to 12). All presented as untreated non-walkers and had achieved sitting balance by the age of five to six years. They underwent single-event multilevel surgery followed by physiotherapy and orthotic support. For outcome assessment, a modified functional walking scale was used at a mean of 3.5 years (2 to 5) post-operatively. At all levels, static joint contractures had resolved almost completely. All patients improved and became walkers, 18 (21.2%) as exercise, 39 (45.9%) as household and 28 (33%) as community walkers. This study shows that children with cerebral palsy who cannot walk and have not been treated can be helped by single-event multilevel surgery, provided that inclusion criteria are followed and a structural, supervised rehabilitation programme is in place.
منابع مشابه
Longitudinal changes in mobility following single-event multilevel surgery in ambulatory children with cerebral palsy.
OBJECTIVE To examine changes in mobility longitudinally following single-event multilevel surgery in ambulant children with cerebral palsy, focusing on those using assistive devices for functional mobility because they are most at risk of declining gross motor function. PARTICIPANTS A consecutive sample of 156 ambulant children with cerebral palsy (99 males), 96 without devices (Gross Motor F...
متن کاملLong-term results after single event multilevel surgery for the correction of gait disorders in spastic diplegic cerebral palsy
متن کامل
Single-event multilevel surgery for children with cerebral palsy: a systematic review.
AIM To conduct a systematic review of single-event multilevel surgery (SEMLS) for children with cerebral palsy, with the aim of evaluating the quality of the evidence and developing recommendations for future research. METHOD The systematic review was conducted using standard search and extraction methods in Medline, EMBASE, CINAHL, and Cochrane electronic databases. For the purposes of this ...
متن کاملPain and rehabilitation problems after single-event multilevel surgery including bony foot surgery in cerebral palsy
BACKGROUND AND PURPOSE Surgical correction of foot deformities as part of single-event multilevel surgery (SEMLS) to optimize postoperative training is sometimes indicated in ambulatory children with cerebral palsy. We have, however, experienced excessive postoperative pain and rehabilitation problems in a number of these patients. We therefore investigated children who underwent such procedure...
متن کاملSingle-event multilevel surgery in children with spastic diplegia: a pilot randomized controlled trial.
BACKGROUND Single-event multilevel surgery is considered the standard of care to improve gait and functioning of children with spastic diplegic cerebral palsy. However, the evidence base is limited. This pilot study is the first randomized controlled trial of single-event multilevel surgery, to our knowledge. METHODS Nineteen children (twelve boys and seven girls with a mean age of nine years...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 90 11 شماره
صفحات -
تاریخ انتشار 2007