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Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development
المؤلفون المشاركون
Wild, Dana L.
Stegink-Jansen, Caroline W.
Baker, Christine P.
Carmichael, Kelly D.
Yngve, David A.
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-13، 13ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-08-19
دولة النشر
مصر
عدد الصفحات
13
التخصصات الرئيسية
الملخص EN
Improvements in surgical and rehabilitation care are critical to lessen the burden of cerebral palsy (CP), the most common cause of severe physical disability in childhood.
The selective percutaneous myofascial lengthening (SPML) surgical procedure is a minimally invasive method designed to improve ambulation by lengthening contracted musculoskeletal tissues.
Information on surgical procedures, efficacy, and safety of SPML for children with CP is lacking.
Phase 1 of our research is a “proof-of-principle” study for multisite SPML to improve functional mobility of children with CP, and Phase 2 assesses safety, reoperation rates, and efficacy over time in subsequent patient series.
Phase 1 was a repeated measurement case series study of 17 children (mean age 7.6 years).
One physical therapist, blinded to the surgeon’s measurements, measured bilateral knee and ankle motion before and after SPML procedures, using video recordings of a standardized gait path.
Functional Mobility Scale (FMS) 5, 50, and 500 outcomes were taken pre- and postoperatively and via telephone follow-up.
In Phase 2, multisite SPLM surgeries were implemented in larger successive cohorts from 2006 to 2017.
Complications, reoperation rates, and efficacy were retrospectively analyzed.
Phase 1 results showed improvement in the children’s knee and ankle motion while ambulating and improved FMS 5, 50, and 500 outcomes postoperatively (mean, 6.3 months).
At second follow-up (mean 33.3 months), FMS 500 scores continued improvement, while FMS 5 and FMS 50 scores maintained.
During Phase 2, the complication rate was 2.4%, and reoperation rates (including reoperations due to maturation) were between 8% and 13%.
Improvements to correct ankle equinus were recorded in 498 cases.
In conclusion, in a specialized center, single-event, multilevel SPML surgeries of children with CP safely improved ambulatory knee and ankle angle motion and daily mobility outcomes.
Future educational studies of training needs for surgeons new to the approach are needed.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Wild, Dana L.& Stegink-Jansen, Caroline W.& Baker, Christine P.& Carmichael, Kelly D.& Yngve, David A.. 2020. Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development. Minimally Invasive Surgery،Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1192278
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Wild, Dana L.…[et al.]. Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development. Minimally Invasive Surgery No. 2020 (2020), pp.1-13.
https://search.emarefa.net/detail/BIM-1192278
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Wild, Dana L.& Stegink-Jansen, Caroline W.& Baker, Christine P.& Carmichael, Kelly D.& Yngve, David A.. Minimally Invasive SPML Surgery for Children with Cerebral Palsy: Program Development. Minimally Invasive Surgery. 2020. Vol. 2020, no. 2020, pp.1-13.
https://search.emarefa.net/detail/BIM-1192278
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1192278
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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