PMID- 31650917
OWN - NLM
STAT- MEDLINE
DCOM- 20200129
LR  - 20200129
IS  - 1309-0313 (Electronic)
VI  - 30
IP  - 3
DP  - 2019 Dec
TI  - Comparison of single event multilevel surgery and multiple surgical events in the 
      lower extremities of children with spastic cerebral palsy.
PG  - 217-23
LID - ehc.2019.66516 [pii]
LID - 10.5606/ehc.2019.66516 [doi]
AB  - OBJECTIVES: This study aims to compare patients treated with single event 
      multilevel surgery (SEMS) and multiple surgical events (MSE) for disorders of the 
      lower extremities due to cerebral palsy (CP). PATIENTS AND METHODS: The study 
      included 130 patients (74 males, 56 females; mean age 7.7+/-4 years; range, 4 to 13 
      years) who were retrospectively staged preoperatively and at the final follow-up 
      with the Gross Motor Function Classification System (GMFCS). The patients were 
      divided into two groups as group 1 (MSE) and group 2 (SEMS). Gross Motor Function 
      Measure-88 (GMFM-88) was used as evaluation criteria and visual analog scale was 
      used to measure family satisfaction. RESULTS: In the final follow-up, group 2 had 
      better GMFM-88 D and E scores (p=0.037 and p=0.045, respectively). Similarly, 
      family satisfaction was better in group 2 (p=0.047). There was a difference 
      between preoperative and final follow-up GMFCS stages (I, II, III) of all 
      patients (21/53/56 and 53/49/28; respectively, p<0.001). A total of 3.8 (range, 
      2-7) operations were performed per child. CONCLUSION: In this study, SEMS 
      contributed significantly to movement, posture and independence of children with 
      CP compared to MSE. Single event multilevel surgery also increased family 
      satisfaction.
FAU - Aslan, Ahmet
AU  - Aslan A
AD  - Department of Orthopedics and Traumatology, Alanya Alaaddin Keykubat University, 
      Faculty of Medicine, 07425 Alanya, Antalya, Turkey. draaslan@hotmail.com.
FAU - Diril, Sabri Kerem
AU  - Diril SK
FAU - Demirci, Demir
AU  - Demirci D
FAU - Yorgancigil, Huseyin
AU  - Yorgancigil H
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Turkey
TA  - Eklem Hastalik Cerrahisi
JT  - Eklem hastaliklari ve cerrahisi = Joint diseases & related surgery
JID - 101265191
SB  - IM
MH  - Cerebral Palsy/physiopathology/*surgery
MH  - Child
MH  - Child, Preschool
MH  - Contracture/physiopathology/*surgery
MH  - Disability Evaluation
MH  - Female
MH  - Humans
MH  - Lower Extremity/physiopathology/*surgery
MH  - Male
MH  - Orthopedic Procedures/*statistics & numerical data
MH  - Patient Satisfaction
MH  - Retrospective Studies
MH  - Visual Analog Scale
EDAT- 2019/10/28 06:00
MHDA- 2020/01/30 06:00
CRDT- 2019/10/26 06:00
PHST- 2019/10/26 06:00 [entrez]
PHST- 2019/10/28 06:00 [pubmed]
PHST- 2020/01/30 06:00 [medline]
AID - ehc.2019.66516 [pii]
AID - 10.5606/ehc.2019.66516 [doi]
PST - ppublish
SO  - Eklem Hastalik Cerrahisi. 2019 Dec;30(3):217-23. doi: 10.5606/ehc.2019.66516.