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Long term outcome of single event multilevel surgery in spastic diplegia with flexed knee gait

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dc.contributor.authorSung, Ki Hyuk-
dc.contributor.authorChung, Chin Youb-
dc.contributor.authorLee, Kyoung Min-
dc.contributor.authorAkhmedoy, Bekhzad-
dc.contributor.authorLee, Seung Yeol-
dc.contributor.authorChoi, In Ho-
dc.contributor.authorCho, Tae-Joon-
dc.contributor.authorYoo, Won Joon-
dc.contributor.authorPark, Moon Seok-
dc.date.accessioned2023-05-08T00:49:45Z-
dc.date.available2023-05-08T00:49:45Z-
dc.date.created2021-02-25-
dc.date.created2021-02-25-
dc.date.issued2013-04-
dc.identifier.citationGait and Posture, Vol.37 No.4, pp.536-541-
dc.identifier.issn0966-6362-
dc.identifier.urihttps://hdl.handle.net/10371/192070-
dc.description.abstractDistal hamstring lengthening (DHL) is a commonly performed procedure in flexed knee gait. However, the necessity of this procedure has been challenged due to the concerns on adverse effects in long-term follow-up. This retrospective study was undertaken to investigate the long-term outcome of single event multilevel surgery (SEMLS), including bilateral DHL, in ambulatory patients with cerebral palsy using 3D gait analysis. Twenty-nine ambulatory patients with spastic diplegic cerebral palsy who had undergone SEMLS including bilateral DHL were included. 3D gait analysis was performed preoperatively, 1 year postoperatively and over 10 years postoperatively. Preoperative temporal parameters, kinematics and GDI were compared with values obtained 1 and 10 year follow-up visits. The mean age of patients at time of first surgery was 8.3 years (range, 5.4-16.3 years), and mean time from first surgery to last 3D gait analysis was 11.8 years (range, 10.0-13.3 years). Mean pelvic tilt was not changed significantly after SEMLS including DHL. Mean knee flexion at initial contact decreased from 31.1 degrees preoperatively to 26.0 degrees at 1 year postoperatively (p = 0.065), and then decreased significantly to 23.6 degrees at 10 years postoperatively (p = 0.038) versus the preoperative value. Mean GDI score significantly improved from 69.4 preoperatively to 77.9 at 1 year postoperatively (p = 0.003) and continuously improved to 82.2 at 10 years postoperatively (p = 0.017). Single event multilevel surgery including DHL provides a favorable outcome 10 years postoperatively in patients with spastic diplegic cerebral palsy. (C) 2012 Elsevier B.V. All rights reserved.-
dc.language영어-
dc.publisherElsevier BV-
dc.titleLong term outcome of single event multilevel surgery in spastic diplegia with flexed knee gait-
dc.typeArticle-
dc.identifier.doi10.1016/j.gaitpost.2012.09.011-
dc.citation.journaltitleGait and Posture-
dc.identifier.wosid000317998900011-
dc.identifier.scopusid2-s2.0-84875583962-
dc.citation.endpage541-
dc.citation.number4-
dc.citation.startpage536-
dc.citation.volume37-
dc.description.isOpenAccessN-
dc.contributor.affiliatedAuthorChung, Chin Youb-
dc.contributor.affiliatedAuthorChoi, In Ho-
dc.contributor.affiliatedAuthorCho, Tae-Joon-
dc.contributor.affiliatedAuthorYoo, Won Joon-
dc.contributor.affiliatedAuthorPark, Moon Seok-
dc.type.docTypeArticle-
dc.description.journalClass1-
dc.subject.keywordPlusCEREBRAL-PALSY-
dc.subject.keywordPlusAMBULATORY CHILDREN-
dc.subject.keywordPlusSURGICAL INTERVENTION-
dc.subject.keywordPlusDEFORMITY-
dc.subject.keywordPlusIMPROVEMENT-
dc.subject.keywordPlusKINEMATICS-
dc.subject.keywordPlusHAMSTRINGS-
dc.subject.keywordPlusFLEXION-
dc.subject.keywordPlusWALKING-
dc.subject.keywordPlusINDEX-
dc.subject.keywordAuthorDistal hamstring lengthening-
dc.subject.keywordAuthorSingle event multilevel surgery-
dc.subject.keywordAuthorCerebral palsy-
dc.subject.keywordAuthor3D gait analysis-
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  • College of Medicine
  • Department of Medicine
Research Area Cerebral palsy, Medical image, Motion analysis, Pediatric orthopedic surgery, Statistics in orthopedic research

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