Issues of concern after a single-event multilevel surgery in ambulatory children with cerebral palsy

Journal of Pediatric Orthopedics
Moon Seok ParkKyoung Min Lee

Abstract

This study was performed to identify issues of concern to parents after single-event multilevel surgery in ambulatory patients with cerebral palsy. Parents' reports of concern were obtained for 72 ambulatory patients with hemiplegic cerebral palsy (group H; mean age 8.7 y) and 170 ambulatory patients with diplegia (group D; mean age 8.9 y), who had undergone single-event multilevel surgery and were followed for more than 1 year (mean follow-up 5.5 y). Data were acquired using a postal survey. Issues of concern to parents were evaluated using a 5-point Likert scale (1 to 5) for each of 33 items, which was designed for this study. The top 3 issues of concern after surgery were unequal limb circumference, the operative scar, and recurrence in group H, and the operative scar, play activity, and recurrence in group D. Overall concerns were greater in group D (P=0.001) whereas group H was more concerned about appearance such as unequal leg length and circumference (P=0.001, <0.001). The issue of concern that showed the best correlation with parental satisfaction was the insufficient rehabilitation in group H (r=-0.457, P<0.001) and the improvement in walking ability in group D (r=-0.552, P<0.001). Even though parental concern over in...Continue Reading

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Citations

Mar 29, 2014·Developmental Medicine and Child Neurology·Nichola C WilsonNgaire S Stott
Jun 25, 2010·Journal of Pediatric Orthopedics·Moon Seok ParkKyung Hwan Kim
Sep 15, 2020·Minimally Invasive Surgery·Dana L WildDavid A Yngve
Nov 21, 2020·Journal of Orthopaedics·Vasileios C SkoutelisPanayiotis J Papagelopoulos
Nov 6, 2010·Current Opinion in Anaesthesiology

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