Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy
Yıl: 2019 Cilt: 30 Sayı: 3 Sayfa Aralığı: 217 - 223 Metin Dili: İngilizce DOI: 10.5606/ehc.2019.66516 İndeks Tarihi: 20-11-2020
Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy
Öz: 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<0.001). A total of 3.8 (range, 2-7)operations were performed per child.Conclusion: In this study, SEMS contributed significantlyto movement, posture and independence of children withCP compared to MSE. Single event multilevel surgery alsoincreased family satisfaction.
Anahtar Kelime: Spastik serebral palsili çocukların alt ekstremitelerinde tek aşamada çok seviyeli cerrahi ve çok aşamalı cerrahinin karşılaştırılması
Öz: 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<0.001). Çocuk başına toplam 3.8 (dağılım, 2-7) ameliyat yapıldı. Sonuç: Bu çalışmada, TAÇSC SP’li çocukların hareket, postür ve bağımsızlığı açısından ÇAC’ye göre anlamlı katkı sağladı. Tek aşamada çok seviyeli cerrahi aile memnuniyetini de artırdı.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Aslan A, Demirci D, DEMİRCİ D, YORGANCIGIL H (2019). Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. , 217 - 223. 10.5606/ehc.2019.66516 |
| Chicago | Aslan Ahmet,Demirci Demir,DEMİRCİ Demir,YORGANCIGIL HUSEYIN Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. (2019): 217 - 223. 10.5606/ehc.2019.66516 |
| MLA | Aslan Ahmet,Demirci Demir,DEMİRCİ Demir,YORGANCIGIL HUSEYIN Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. , 2019, ss.217 - 223. 10.5606/ehc.2019.66516 |
| AMA | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. . 2019; 217 - 223. 10.5606/ehc.2019.66516 |
| Vancouver | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy. . 2019; 217 - 223. 10.5606/ehc.2019.66516 |
| IEEE | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H "Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy." , ss.217 - 223, 2019. 10.5606/ehc.2019.66516 |
| ISNAD | Aslan, Ahmet vd. "Comparison of single event multilevel surgery and multiple surgical events in the lower extremities of children with spastic cerebral palsy". (2019), 217-223. https://doi.org/10.5606/ehc.2019.66516 |
| APA | Aslan A, Demirci D, DEMİRCİ D, YORGANCIGIL H (2019). 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.), 30(3), 217 - 223. 10.5606/ehc.2019.66516 |
| Chicago | Aslan Ahmet,Demirci Demir,DEMİRCİ Demir,YORGANCIGIL HUSEYIN 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.) 30, no.3 (2019): 217 - 223. 10.5606/ehc.2019.66516 |
| MLA | Aslan Ahmet,Demirci Demir,DEMİRCİ Demir,YORGANCIGIL HUSEYIN 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.), vol.30, no.3, 2019, ss.217 - 223. 10.5606/ehc.2019.66516 |
| AMA | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H 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.). 2019; 30(3): 217 - 223. 10.5606/ehc.2019.66516 |
| Vancouver | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H 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.). 2019; 30(3): 217 - 223. 10.5606/ehc.2019.66516 |
| IEEE | Aslan A,Demirci D,DEMİRCİ D,YORGANCIGIL H "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.), 30, ss.217 - 223, 2019. 10.5606/ehc.2019.66516 |
| ISNAD | Aslan, Ahmet vd. "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.) 30/3 (2019), 217-223. https://doi.org/10.5606/ehc.2019.66516 |
