S-Space College of Medicine/School of Medicine (의과대학/대학원) Orthopedic Surgery (정형외과학전공) Journal Papers (저널논문_정형외과학전공)
Residual pelvic rotation after single-event multilevel surgery in spastic hemiplegia
- Issue Date
- J Bone Joint Surg Br. 2008;90(9):1234-8
- Adolescent ; Child ; Child, Preschool ; Female ; Femur/*surgery ; Gait/*physiology ; Humans ; Male ; Male ; Osteotomy/methods ; Pelvis/*physiopathology ; Retrospective Studies ; Torsion, Mechanical ; Treatment Outcome ; Hemiplegia/physiopathology/surgery
- Our aim in this retrospective study of 52 children with spastic hemiplegia was to determine the factors which affected the amount of residual pelvic rotation after single-event multilevel surgery. The patients were divided into two groups, those who had undergone femoral derotation osteotomy and those who had not. Pelvic rotation improved significantly after surgery in the femoral osteotomy group (p < 0.001) but not in the non-femoral osteotomy group. Multiple regressions identified the following three independent variables, which significantly affected residual pelvic rotation: the performance of femoral derotation osteotomy (p = 0.049), the pre-operative pelvic rotation (p = 0.003) and the post-operative internal rotation of the hip (p = 0.001). We concluded that there is a decrease in the amount of pelvic rotation after single-event multilevel surgery with femoral derotation osteotomy. However, some residual rotation may persist when patients have severe rotation before surgery.
- 0301-620X (Print)
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