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Issues of Concern Before Single Event Multilevel Surgery in Patients With Cerebral Palsy

Cited 7 time in Web of Science Cited 9 time in Scopus

Park, Moon Seok; Chung, Chin Youb; Lee, Kyoung Min; Lee, Sang Hyeong; Choi, In Ho; Cho, Tae-Joon; Yoo, Won Joon; Kim, Kyung Hwan

Issue Date
Lippincott Williams & Wilkins Ltd.
Journal of Pediatric Orthopaedics, Vol.30 No.5, pp.489-495
Background: This study was performed to identify the issues of concern of parents of patients with cerebral palsy before single event multilevel surgery (SEMS). Methods: The parental concerns of 64 patients [ 34 males, 30 females, mean age 15 y and 5 mo (SD 8 y and 10 mo)] with cerebral palsy were obtained using a questionnaire preoperatively. The issues of parental concern were evaluated using 59 items specifically designed for this study. The individual items were scored using a 5-point Likert scale (1 to 5). Results: The top 5 issues of concern were as follows: postoperative rehabilitation, duration of rehabilitation, immediate postoperative pain, general anesthesia, and medical cost. Sporting activities and poor compliance to wearing orthosis were included in the top 5 issues of parental concern in patients with unilateral involvement. The overall parental concern in patients with unilateral involvement was lower than that in bilateral involvement (P = 0.054). Parents of younger patients showed significantly higher concern score than those of older patients (P = 0.020). There was no significant difference in the overall concern score between the parents of patients scheduled for bony procedures and those of patients scheduled for soft tissue procedures (P = 0.298). Multiple regression analysis revealed the patient's age (P = 0.018) and responding parent (father vs. mother, P = 0.025) to be the factors that significantly affected the overall concern score (adjusted R-2 = 0.281). Conclusions: An understanding of the issues of concern will enhance communication between physicians and parents, which would assist in preoperative discussion.
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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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