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Verfasst von:Putz, Cornelia [VerfasserIn]   i
 Döderlein, Leonhard [VerfasserIn]   i
 Wolf, Sebastian Immanuel [VerfasserIn]   i
 Gantz, Simone [VerfasserIn]   i
 Braatz, Frank [VerfasserIn]   i
 Dreher, Thomas [VerfasserIn]   i
Titel:Multilevel surgery in adults with cerebral palsy
Mitwirkende:Gernand, Eva-Maria   i
Verf.angabe:C. Putz, L. Döderlein, E.M. Mertens, S.I. Wolf, S. Gantz, F. Braatz, T. Dreher
E-Jahr:2016
Jahr:1 Feb 2016
Umfang:7 S.
Fussnoten:Gesehen am 27.01.2021
Titel Quelle:Enthalten in: The bone & joint journal
Ort Quelle:London : British Editorial Society of Bone and Joint Surgery, 2013
Jahr Quelle:2016
Band/Heft Quelle:98-B(2016), 2, Seite 282-288
ISSN Quelle:2049-4408
Abstract:Aims Single-event multilevel surgery (SEMLS) has been used as an effective intervention in children with bilateral spastic cerebral palsy (BSCP) for 30 years. To date there is no evidence for SEMLS in adults with BSCP and the intervention remains focus of debate.MethodsThis study analysed the short-term outcome (mean 1.7 years, standard deviation 0.9) of 97 ambulatory adults with BSCP who performed three-dimensional gait analysis before and after SEMLS at one institution. ResultsTwo objective gait variables were calculated pre- and post-operatively; the Gillette Gait Index (GGI) and the Gait Profile Score (GPS). The results were analysed in three groups according to their childhood surgical history (group 1 = no surgery, group 2 = surgery other than SEMLS, group 3 = SEMLS). Improvements in gait were shown by a significant decrease of GPS (p = 0.001). Similar results were obtained for both legs (GGI right side and left side p = 0.01). Furthermore, significant improvements were found in all subgroups although this was less marked in group 3, where patients had undergone previous SEMLS. DiscussionSEMLS is an effective and safe procedure to improve gait in adults with cerebral palsy. However, a longer rehabilitation period is to be expected than found in children. SEMLS is still effective in adult patients who have undergone previous SEMLS in childhood.Take home message: Single-event multilevel surgery is a safe and effective procedure to improve gait disorders in adults with bilateral spastic cerebral palsy.Cite this article: Bone Joint J 2016;98-B:282-8.
DOI:doi:10.1302/0301-620X.98B2.36122
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1302/0301-620X.98B2.36122
 Volltext: https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.98B2.36122
 DOI: https://doi.org/10.1302/0301-620X.98B2.36122
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1745818723
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