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The Bone & Joint Journal

Children's Orthopaedics

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The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 3 | Pages 477 - 480
1 May 1996
Daly K Wisbeach A Sanpera I Fixsen JA

We report a postal survey of 59 families of children with osteogenesis imperfecta. From the 51 replies we collected data on developmental milestones and walking ability and related them to the Sillence and the Shapiro classifications of osteogenesis imperfecta. Twenty-four of the patients had been treated by intramedullary rodding.

Both classifications helped to predict eventual walking ability. We found that independent sitting by the age of ten months was a predictor for the use of walking as the main means of mobility with 76% attaining this. Of the patients who did not achieve sitting by ten months, walking became the main means of mobility in only 18%. The developmental pattern of mobility was similar in the rodded and non-rodded patients.