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International Journal of
Orthopaedics Research
ARCHIVES
VOL. 1, ISSUE 2 (2019)
Single event multilevel soft tissue release in lower limb surgical intervention in patients with spastic cerebral palsy
Authors
Rakesh Kumar Misra, Ashish Vinodkumar Batra
Abstract
Introduction: Cerebral palsy is the non-progressive injury to immature brain that results in change in muscle tone and posture, both at rest and with voluntary activity. Spastic CP is the most common subtype. Single Event Multiple Level Resections (SEMLR) in the lower limb is to improve the gait of children with spastic CP. Methods: 25 patients (M: F 16:9) were included in this study with a mean age of 9.45 ± 3.78 years (4–15 years). Children with dyskinetic or mixed CP, those requiring bony surgeries, and those with severe or profound mental retardation were excluded from the study. The lower extremities assessment was done with physical examination and Gross Motor Functional Classification Scale (GMFCS) scores. Results: In total, 106 operative procedures were done in the patients with average of 4.24 procedures per child. All children attained complete or nearly complete correction of deformities after surgery. . There was significant improvement GMFCS score following surgery (P = 0.05). Conclusion: Single-stage multilevel soft-tissue surgery in the lower limbs in patients with spastic CP and good trunk control produces good outcomes for movement and locomotion. This is a cost-effective and logical approach in developing countries like India, where the patients would not turn up for multistage surgery and follow-up.
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Pages:34-38
How to cite this article:
Rakesh Kumar Misra, Ashish Vinodkumar Batra "Single event multilevel soft tissue release in lower limb surgical intervention in patients with spastic cerebral palsy". International Journal of Orthopaedics Research, Vol 1, Issue 2, 2019, Pages 34-38
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