Single event multilevel orthopedic surgery for crouch gait in cerebral palsy
John Fathy Haleem Amen;
Abstract
Management of crouch gait in CP remains a challenging problem in pediatric orthopedic surgery. However, SEMLS remains the best option only after good preoperative planning. Multidisciplinary team is a must to achieve this goal.
We studied 18 patients (34 limbs) with crouch gait. Of the patients five (27.8%) were GMFCS II, ten (55.5%) were GMFCS III and three (16.7%) were GMFCS IV. SEMLS was done for all patients and they were followed up for 1 year.
At 1 yr postoperative, there were significant improvements in all clinical parameters, FMS, walking speed, PCI and WHODAS 0.2. These measures reflect enhanced functional mobility, decreased energy consumption during gait and positive quality of life changes.
We studied 18 patients (34 limbs) with crouch gait. Of the patients five (27.8%) were GMFCS II, ten (55.5%) were GMFCS III and three (16.7%) were GMFCS IV. SEMLS was done for all patients and they were followed up for 1 year.
At 1 yr postoperative, there were significant improvements in all clinical parameters, FMS, walking speed, PCI and WHODAS 0.2. These measures reflect enhanced functional mobility, decreased energy consumption during gait and positive quality of life changes.
Other data
| Title | Single event multilevel orthopedic surgery for crouch gait in cerebral palsy | Other Titles | جراحات العظام متعددة المستوي ذات المرحلة الواحدة لعلاج المشية المنحنية فى حالات الشلل الدماغي | Authors | John Fathy Haleem Amen | Issue Date | 2018 |
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