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Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2019 / Cilt: 30 - Sayı: 3

Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy

Spastik serebral palsili çocukların alt ekstremitelerinde tek aşamada çok seviyeli cerrahi ve çok aşamalı cerrahinin karşılaştırılması

Demir DEMİRCİ
Ahmet ASLAN
Sabri Kerem DİRİL
Hüseyin YORGANCIGİL
Pages
217–223
Publication Date
2022-10-18
DOI
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⚡ TL;DR(Too Long; Didn't Read)

The patients were dividedinto two groups as group 1 (MSE) and group 2 (SEMS).Gross Motor Function Measure-88 (GMFM-88) was usedas evaluation criteria and visual analog scale was used tomeasure family satisfaction.Results: In the final follow-up, group 2 had better GMFM-88 D and E scores (p=0.037 and p=0.045, respectively).Similarly, family satisfaction was better in group 2 (p=0.047).There was a difference between preoperative and final followupGMFCS stages (I, II, III) of all patients (21/53/56 and53/49/28; respectively, p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to compare patients treated withsingle event multilevel surgery (SEMS) and multiple surgicalevents (MSE) for disorders of the lower extremities due tocerebral palsy (CP).Patients and methods: The study included 130 patients(74 males, 56 females; mean age 7.7±4 years; range, 4 to13 years) who were retrospectively staged preoperativelyand at the final follow-up with the Gross Motor FunctionClassification System (GMFCS).
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Key Findings & Data:Objectives: This study aims to compare patients treated withsingle event multilevel surgery (SEMS) and multiple surgicalevents (MSE) for disorders of the lower extremities due tocerebral palsy (CP).Patients and methods: The study included 130 patients(74 males, 56 females; mean age 7.7±4 years; range, 4 to13 years) who were retrospectively staged preoperativelyand at the final follow-up with the Gross Motor FunctionClassification System (GMFCS).
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Conclusion & Impact:The patients were dividedinto two groups as group 1 (MSE) and group 2 (SEMS).Gross Motor Function Measure-88 (GMFM-88) was usedas evaluation criteria and visual analog scale was used tomeasure family satisfaction.Results: In the final follow-up, group 2 had better GMFM-88 D and E scores (p=0.037 and p=0.045, respectively).Similarly, family satisfaction was better in group 2 (p=0.047).There was a difference between preoperative and final followupGMFCS stages (I, II, III) of all patients (21/53/56 and53/49/28; respectively, p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: This study aims to compare patients treated withsingle event multilevel surgery (SEMS) and multiple surgicalevents (MSE) for disorders of the lower extremities due tocerebral palsy (CP).Patients and methods: The study included 130 patients(74 males, 56 females; mean age 7.7±4 years; range, 4 to13 years) who were retrospectively staged preoperativelyand at the final follow-up with the Gross Motor FunctionClassification System (GMFCS). The patients were dividedinto two groups as group 1 (MSE) and group 2 (SEMS).Gross Motor Function Measure-88 (GMFM-88) was usedas evaluation criteria and visual analog scale was used tomeasure family satisfaction.Results: In the final follow-up, group 2 had better GMFM-88 D and E scores (p=0.037 and p=0.045, respectively).Similarly, family satisfaction was better in group 2 (p=0.047).There was a difference between preoperative and final followupGMFCS stages (I, II, III) of all patients (21/53/56 and53/49/28; respectively, p

Özet

Amaç: Bu çalışmada serebral palsi (SP)’ye bağlı alt ekstremite rahatsızlıkları için tek aşamada çok seviyeli cerrahi (TAÇSC) ve çok aşamalı cerrahi (ÇAC) ile tedavi edilen hastalar karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya geriye dönük olarak ameliyat öncesinde ve son takipte Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS) ile evrelendirilen 130 hasta (74 erkek, 56 kız; ort. yaş 7.7±4 yıl; dağılım, 4-13 yıl) dahil edildi. Hastalar grup 1 (ÇAC) ve grup 2 (TAÇSC) olmak üzere iki gruba ayrıldı. Değerlendirme ölçütü olarak Kaba Motor Fonksiyon Ölçütü-88 (KMFÖ-88) ve aile memnuniyetini ölçmek için Görsel Analog Ölçeği kullanıldı. Bulgular: Son takipte grup 2’nin KMFÖ-88 D ve E skorları daha iyiydi (sırasıyla, p=0.037 ve p=0.045). Benzer şekilde, aile memnuniyeti grup 2’de daha iyiydi (p=0.047). Tüm hastaların ameliyat öncesi ve son takip KMFSS evreleri (I, II, III) arasında farklılık vardı (sırasıyla, 21/53/56 ve 53/49/28; p

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Cite This Article

DEMİRCİ, D., ASLAN, A., DİRİL, S. K., YORGANCIGİL, H. (2022). Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 30 - Sayı: 3, 217–223. https://ajindex.com/articles/498398

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