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Long term outcome of single event multilevel surgery in spastic diplegia with flexed knee gait
DC Field | Value | Language |
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dc.contributor.author | Sung, Ki Hyuk | - |
dc.contributor.author | Chung, Chin Youb | - |
dc.contributor.author | Lee, Kyoung Min | - |
dc.contributor.author | Akhmedoy, Bekhzad | - |
dc.contributor.author | Lee, Seung Yeol | - |
dc.contributor.author | Choi, In Ho | - |
dc.contributor.author | Cho, Tae-Joon | - |
dc.contributor.author | Yoo, Won Joon | - |
dc.contributor.author | Park, Moon Seok | - |
dc.date.accessioned | 2023-05-08T00:49:45Z | - |
dc.date.available | 2023-05-08T00:49:45Z | - |
dc.date.created | 2021-02-25 | - |
dc.date.created | 2021-02-25 | - |
dc.date.issued | 2013-04 | - |
dc.identifier.citation | Gait and Posture, Vol.37 No.4, pp.536-541 | - |
dc.identifier.issn | 0966-6362 | - |
dc.identifier.uri | https://hdl.handle.net/10371/192070 | - |
dc.description.abstract | Distal 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.language | 영어 | - |
dc.publisher | Elsevier BV | - |
dc.title | Long term outcome of single event multilevel surgery in spastic diplegia with flexed knee gait | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.gaitpost.2012.09.011 | - |
dc.citation.journaltitle | Gait and Posture | - |
dc.identifier.wosid | 000317998900011 | - |
dc.identifier.scopusid | 2-s2.0-84875583962 | - |
dc.citation.endpage | 541 | - |
dc.citation.number | 4 | - |
dc.citation.startpage | 536 | - |
dc.citation.volume | 37 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Chung, Chin Youb | - |
dc.contributor.affiliatedAuthor | Choi, In Ho | - |
dc.contributor.affiliatedAuthor | Cho, Tae-Joon | - |
dc.contributor.affiliatedAuthor | Yoo, Won Joon | - |
dc.contributor.affiliatedAuthor | Park, Moon Seok | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | CEREBRAL-PALSY | - |
dc.subject.keywordPlus | AMBULATORY CHILDREN | - |
dc.subject.keywordPlus | SURGICAL INTERVENTION | - |
dc.subject.keywordPlus | DEFORMITY | - |
dc.subject.keywordPlus | IMPROVEMENT | - |
dc.subject.keywordPlus | KINEMATICS | - |
dc.subject.keywordPlus | HAMSTRINGS | - |
dc.subject.keywordPlus | FLEXION | - |
dc.subject.keywordPlus | WALKING | - |
dc.subject.keywordPlus | INDEX | - |
dc.subject.keywordAuthor | Distal hamstring lengthening | - |
dc.subject.keywordAuthor | Single event multilevel surgery | - |
dc.subject.keywordAuthor | Cerebral palsy | - |
dc.subject.keywordAuthor | 3D gait analysis | - |
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