Journal article
Long-term development of gait after multilevel surgery in children with cerebral palsy: a multicentre cohort study
T Dreher, P Thomason, M Švehlík, L Döderlein, SI Wolf, C Putz, O Uehlein, K Chia, G Steinwender, M Sangeux, HK Graham
Developmental Medicine and Child Neurology | WILEY | Published : 2018
DOI: 10.1111/dmcn.13618
Abstract
Aim: We investigated the long-term efficacy and safety of multilevel surgery (MLS) in ambulatory children with bilateral spastic cerebral palsy (CP). Method: Two hundred and thirty-one children were evaluated at short term (1.1y, SD 0.4) and long term (9.1y, SD 3.0) follow-up using clinical examination and gait analysis. MLS was investigated by studying changes in the Gait Profile Score (GPS) referenced to the minimally important clinical difference. Results: Ambulatory children aged 10 years and 7 months (SD 2y 11mo) at MLS in Gross Motor Function Classification System levels I (19), II (144), and III (68) showed a decrease (improvement) in preoperative GPS from 16.3° (SD 4.8) to 11.3° (SD ..
View full abstractGrants
Funding Acknowledgements
A grant was received from the Hugh Williamson Foundation to support this investigation. Kohleth Chia and Morgan Sangeux were supported, in part, by the National Health and Medical Research Council of Australia project grant 1100376. The authors have stated that they had no interests that might be perceived as posing a conflict or bias.