scholarly journals Recurrence after surgery for equinus foot deformity in children with cerebral palsy: assessment of predisposing factors for recurrence in a long-term follow-up study

2011 ◽  
Vol 5 (4) ◽  
pp. 289-296 ◽  
Author(s):  
Sun Young Joo ◽  
Durga N. Knowtharapu ◽  
Kenneth J. Rogers ◽  
Laurens Holmes ◽  
Freeman Miller
Keyword(s):  
Cerebral Palsy ◽  
Predisposing Factors ◽  
Foot Deformity ◽  
Follow Up Study ◽  
Children With Cerebral Palsy ◽  
Long Term Follow Up

Long-Term Follow-up of Surgery for Equinovarus Foot Deformity in Children With Cerebral Palsy

2002 ◽  
Vol 22 (6) ◽  
pp. 792-799 ◽  
Author(s):  
Chia Hsieh Chang ◽  
Juan Pablo Albarracin ◽  
Glenn E. Lipton ◽  
Freeman Miller
Keyword(s):  
Cerebral Palsy ◽  
Foot Deformity ◽  
Children With Cerebral Palsy ◽  
Long Term Follow Up

Long-term follow-up study of cerebral palsy children and coping behaviour of parents

1990 ◽  
Vol 15 (7) ◽  
pp. 762-770 ◽  
Author(s):  
Taiko Hirose ◽  
Reiko Ueda MLtt
Keyword(s):  
Cerebral Palsy ◽  
Coping Behaviour ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
And Coping

scholarly journals Prediction of Functions in Adulthood in Cerebral Palsy (From the Long Term Follow up Study).

1997 ◽  
Vol 34 (5) ◽  
pp. 337-341
Author(s):  
Hitoshi YOKOZEKI ◽  
Masanosuke NAKASHIMA ◽  
Sumito NAKAMURA ◽  
Teruyoko FUJIMOTO
Keyword(s):  
Cerebral Palsy ◽  
Follow Up Study ◽  
Long Term Follow Up

A long-term follow-up study of spinal abnormalities and pain in adults with cerebral palsy and spastic diplegia more than 25 years after selective dorsal rhizotomy

2020 ◽  
pp. 1-8
Author(s):  
Berendina E. Veerbeek ◽  
Robert P. Lamberts ◽  
A. Graham Fieggen ◽  
Ncedile Mankahla ◽  
Richard V. P. de Villiers ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Spastic Diplegia ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Follow Up Study ◽  
Long Term Follow Up ◽  
Lumbar Hyperlordosis ◽  
Thoracic Hyperkyphosis

OBJECTIVEThe main purpose of selective dorsal rhizotomy (SDR) is to reduce spasticity in the lower extremities of children diagnosed with cerebral palsy (CP) and spastic diplegia. The potential for developing spinal abnormalities and pain is a concern, especially in the aging CP population. Therefore, the aim of this study was to evaluate spinal abnormalities, level of pain, and disability (due to back or leg pain) in adults with CP, and associations with participant characteristics, more than 25 years after SDR.METHODSThis is a 9-year follow-up study with data collection conducted in 2008 and 2017. Radiographs were assessed for the degree of scoliosis, thoracic kyphosis and lumbar lordosis curvatures, and prevalence of spondylolysis and spondylolisthesis, while level of pain and disability was determined with a self-developed questionnaire and the Oswestry Disability Index (ODI) questionnaire, respectively.RESULTSTwenty-five participants were included (15 males; median age 35.9 years, IQR 34.3–41.5 years), with a follow-up time after SDR ranging from 25 to 35 years. No clinically relevant changes were found for spinal curvatures, spondylolysis and spondylolisthesis, perceived pain frequency, and ODI scores between 2008 and 2017. While the prevalence of spondylolysis was 44%, spondylolisthesis was found in 20% (of whom 15% were grade I and 5% grade II), lumbar hyperlordosis was found in 32%, thoracic hyperkyphosis in 4%, and scoliosis in 20%. The Cobb angle was < 25°, and no patient required surgery for scoliosis. In addition, the low back was reported as the most common site of pain, with 28% of the adults with CP having daily pain. This resulted in 80% of the cohort indicating none or minimal disability due to pain based on the ODI. The only correlation found was between hyperkyphosis and female gender.CONCLUSIONSAt follow-up more than 25 years after SDR, no progression in spinal abnormalities, level of pain, and disability was found when compared with findings 15 years after SDR. The prevalence of scoliosis, thoracic hyperkyphosis, and lumbar hyperlordosis was within the range reported for adults with CP, while spondylolysis and spondylolisthesis occurred more often than would be expected. It is difficult, however, to establish the role of SDR in this finding, given the limited data on the natural history of CP. Despite the encouraging outcome of this long-term follow-up study after SDR, it is important to continue monitoring adults with CP during the aging process.

Sign in / Sign up

Export Citation Format

Share Document