Format

Send to

Choose Destination
See comment in PubMed Commons below
J Bone Joint Surg Br. 2008 Jul;90(7):946-51. doi: 10.1302/0301-620X.90B7.20577.

The outcome of surgical intervention for early deformity in young ambulant children with bilateral spastic cerebral palsy.

Author information

  • 1Gait Laboratory, Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital, St Thomas' Street, London SE1 9RT, UK. Martin.Gough@gstt.nhs.uk

Abstract

We reviewed the outcome in 24 children with bilateral spastic cerebral palsy aged seven years or younger for whom surgery was recommended between 1999 and 2005 following gait analysis. A total of 13 children (operative group) had surgery and the remaining 11 (control group) did not, for family or administrative reasons. The operative group had at least two post-operative gait analyses at yearly intervals, with eight children having a third and six children a fourth. The control group had a second analysis after a mean interval of 1.5 years (95% confidence interval 1.1 to 1.9). In the operative group, the Gillette gait index, the ranges of movement in the lower limb joint and knee extension in stance improved following surgery, and this was maintained overall at the second post-operative analysis. The minimum knee flexion in stance in the control group increased between analyses. These results suggest that surgical intervention in selected children can result in improvements in gait and function in the short to medium term compared with non-operative management.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk