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Schranz, C; Kruse, A; Kraus, T; Steinwender, G; Svehlik, M.
Does unilateral single-event multilevel surgery improve gait in children with spastic hemiplegia? A retrospective analysis of a long-term follow-up.
Gait Posture. 2017; 52(1):135-139
Doi: 10.1016/j.gaitpost.2016.11.018
Web of Science
PubMed
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FullText_MUG
- Leading authors Med Uni Graz
- Schranz Christian
- Co-authors Med Uni Graz
- Kraus Tanja
- Steinwender Gerhardt
- Svehlik Martin
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- Abstract:
- Single event multilevel surgery (SEMLS) has become a standard intervention for children with cerebral palsy (CP). SEMLS proved to improve the gait in bilateral spastic cerebral palsy and those improvements can be maintained in the long term. However there is no evidence on the long-term outcome of unilateral SEMLS in children with unilateral spastic cerebral palsy. The gait analyses and clinical data of 14 children (9 male/5 female, mean age 12.1) with unilateral CP (6 children Gross Motor Function Classification System Scale level I and 8 children level II) were retrospectively reviewed at four time-points: preoperatively, 1year, 3-5 years and approximately 10 years after unilateral SEMLS. The Gait Profile Score (GPS) of the affected leg was used as a main and the number of fine tuning procedures as well as complications rate (Clavien-Dindo classification) as secondary outcome measures. The gait improved postoperatively and the GPS of the affected leg significantly declined by 3.73° which is well above the minimal clinical important difference of 1.6°. No deterioration of GPS occurred throughout the follow-up period. Therefore the postoperative improvement was maintained long-term. However, additional fine-tuning procedures had to be performed during the follow-up in 5 children and three complications occurred (one level II and two level III). The results indicate that children with unilateral cerebral palsy benefit from unilateral SEMLS and maintain gait improvements long-term. Copyright © 2016 Elsevier B.V. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Cerebral Palsy - physiopathology
- Cerebral Palsy - rehabilitation
- Cerebral Palsy - surgery
- Child -
- Female -
- Follow-Up Studies -
- Gait -
- Hemiplegia - physiopathology
- Hemiplegia - rehabilitation
- Hemiplegia - surgery
- Humans -
- Male -
- Postoperative Period -
- Retrospective Studies -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Gait
- Unilateral cerebral palsy
- Single-event multilevel surgery
- Gait profile score