Evaluation of hip containment procedure for the management of hip migration in non ambulatory children with spastic cerebral palsy

Abstract

Cerebral palsy is a common cause of childhood disability. It has a devastating effect on economical and psychological aspects of patients and their families in both childhood and in their future life as adult productive members of the society. Twenty six patients with spastic cerebral palsy were surgically treated with single event multilevel surgery for their migrated femoral head, and reviewed in a minimum of 24 months, with an average of 36.8 months. Patients were 15 males and 11 females with 8 bilateral cases. The GMFCS was IV in 15 cases; level V in 11 cases. Patients were evaluated clinically, radiologically and functionally. Good satisfactory outcome was elicited in most patients as previously discussed in results and discussion part of this work. The migration percentage, the acetabular index, and the growth motor function classification score were evaluated preoperative and in the last follow up. This study proved that single event multilevel surgery for migrated femoral head in spastic cerebral palsy patients is an effective method of treatment although longer follow up is needed to detect the actual rate of re-surgery in these patients.