Aims. The Uppföljningsprogram för cerebral pares (CPUP) Hip Score distinguishes between children with
Aims. The purpose of this study was to compare the prevalence of hip displacement and dislocation in a total population of children with
Aims. Reimers migration percentage (MP) is a key measure to inform decision-making around the management of hip displacement in
Aims. Hip disease is common in children with
Botulinum toxin A (BoNT-A) is a substance that requires repeated application due to its effectiveness being lost 12–16 weeks post application. Performing these intra-muscular injections under anesthesia reduces pain and distress during applications, ensuring effective and successful functional results. This study evaluates motor development of patients undergoing 3 or more repeated BoNT-A application in a tertiary pediatric hospital and the safety as well as effect of 3 different types of anesthesia. 75 children with
Aims. Hip displacement, common in patients with
Aims. To compare changes in gait kinematics and walking speed 24 months after conventional (C-MLS) and minimally invasive (MI-MLS) multilevel surgery for children with diplegic
Aims. A flexed knee gait is common in patients with bilateral spastic
cerebral palsy and occurs with increased age. There is a risk for
the recurrence of a flexed knee gait when treated in childhood,
and the aim of this study was to investigate whether multilevel
procedures might also be undertaken in adulthood. Patients and Methods. At a mean of 22.9 months (standard deviation 12.9), after single
event multi level surgery, 3D gait analysis was undertaken pre-
and post-operatively for 37 adult patients with bilateral cerebral
palsy and a fixed knee gait. Results. There was a significant improvement of indices and clinical and
kinematic parameters including extension of the hip and knee, reduction
of knee flexion at initial contact, reduction of minimum and mean
knee flexion in the stance phase of gait, improved range of movement
of the knee and a reduction of mean flexion of the hip in the stance phase.
Genu recurvatum occurred in two patients (n = 3 legs, 4%) and an
increase of pelvic tilt (>
5°) was found in 12 patients (n = 23
legs, 31%). Conclusion. Adult patients with bilateral
In 1994 a
Aims. The purpose of this study was to assess the reliability and responsiveness to hip surgery of a four-point modified Care and Comfort Hypertonicity Questionnaire (mCCHQ) scoring tool in children with
Aims. Guided growth has been used to treat coxa valga for
Aims. To systematically review the efficacy of split tendon transfer surgery on gait-related outcomes for children and adolescents with
We reviewed the long-term radiological outcome,
complications and revision operations in 19 children with quadriplegic
cerebral palsy and hip dysplasia who underwent combined peri-iliac
osteotomy and femoral varus derotation osteotomy. They had a mean
age of 7.5 years (1.6 to 10.9) and comprised 22 hip dislocations
and subluxations. We also studied the outcome for the contralateral
hip. At a mean follow-up of 11.7 years (10 to 15.1) the Melbourne
cerebral palsy (CP) hip classification was grade 2 in 16 hips, grade
3 in five, and grade 5 in one. There were five complications seen
in four hips (21%, four patients), including one dislocation, one
subluxation, one coxa vara with adduction deformity, one subtrochanteric
fracture and one infection. A recurrent soft-tissue contracture occurred
in five hips and ten required revision surgery. In pre-adolescent children with quadriplegic
Purpose. The incidence of hip displacement in children with
We describe 13 patients with
Although equinus gait is the most common abnormality
in children with spastic
Aims. The migration percentage (MP) is one criterion used for surgery in dislocated or displaced hips in children with
There is much debate about the nature and extent of deformities in the proximal femur in children with
In 1994, a register for
We have tested the reliability of a recently reported classification system of hip morphology in adolescents with
In
1. Correction of equinus deformity in
Scoliosis is a common problem in
Purpose. The aim of this study was to identify if perioperative outcomes were different in patients with
We studied prospectively the impact of a hip surveillance clinic on the management of spastic hip disease in children with
We reviewed the evidence for hip surveillance in children with
Pelvic obliquity is a common finding in adolescents
with
1. Thirteen years of experience in charge of treatment in a Residential School for
This study compares the initial outcomes of minimally invasive techniques for single-event multi-level surgery with conventional single-event multi-level surgery. The minimally invasive techniques included derotation osteotomies using closed corticotomy and fixation with titanium elastic nails and percutaneous lengthening of muscles where possible. A prospective cohort study of two matched groups was undertaken. Ten children with diplegic
We performed rotational acetabular osteotomy in order to treat dysplasia of the hip in five ambulatory adults with
Purpose: The purpose of this work was to compare outcome after simple posterior fusion with that after double anterior and posterior fusion for the treatment of scoliosis in
The objective and dynamic documentation of the knee kinematics in ambulatory children with spastic
Objectives: To measure the abductor moment at the hip joint in internal and external rotation and neutral position. To study the relationship between femoral ante-version and the abductor moment generated. Design: A controlled prospective study comparing a group of children with
Patients with hemiplegic
Purpose: In this study we comprehensively evaluate a cohort of profoundly affected adults with
The purpose of the study was to identify risk factors that are associated with re-displacement of the hip after surgical reconstruction in
1. Ten children with scoliosis and
In developed countries, children with
The purpose was to compare the results of two different surgical techniques in the treatment of severe
We carried out a morphometric analysis of acetabular dysplasia in patients with
Sitting is the main activity of daily living for the majority of patients with
The aims of this study were to report functional
outcomes of salvage procedures for patients with
The results of a functional, clinical and radiological study of 30 children (60 hips) with whole-body
Hip displacement, defined in this study as a
migration percentage (MP) of more than 40%, is a common, debilitating complication
of
1. Analysis of the static and dynamic conditions in spastic
When
Objective: In
Due to abnormal neuromuscular development, functional capability in children with
Objective: To evaluate the effect of spinal fusion from T1, T2 to the sacrum with pelvic fixation using unit rod instrumentation on the ambulatory potential of pediatric patients with
We describe a patient with
A significant proportion of children with
The objective of this study is to determine if surgical lengthening of the hamstrings and gastrocnemius/Achilles complex, affect muscle tone in patients with
To determine the natural history of dislocation of the hip in
We carried out a morphometric analysis of the acetabulum following Dega osteotomy in patients with
Aim: There were no reports of epiphyseal separation in
Children with diplegic
In patients with severe quadriplegic
In
Intramuscular injections of botulinum neuro toxin A (BoNT-A) have been a cornerstone in the treatment of spasticity for the last two decades. In India, the treatment is now offered to children with spastic
Introduction and Aims: In order to evaluate the hypothesis that ‘Botulinum A Toxin (BoNT-A) improves function and health-related quality of life in patients and their caregivers’, the experience of a single institution that performed over 7500 injections in 515 patients was evaluated to provide safety data, injection guidelines, and current indications. Method: This retrospective review utilised a computerised database that contains information from open-label trials (n=6), double-blind randomised trials (n=4), and cumulative treatment experience in 1100 children and adults with
Aim: The purpose of this study is to define the hip anatomy in
Europeam Group of Neuro-orthopaedic (GLAENeO), Caracas, The prevention of a dislocated hip is one of the aims of early surgery in
Operative treatment was performed in nine patients with cervical spondylotic myelopathy complicating athetoid
Objective: To report the development of acquired atlan-toaxial instability in pediatric patients with spastic
Purpose of the study. To investigate the efficacy of pedicle screw instrumentation in correcting spinal deformity in patients with quadriplegic
A percutaneous supramalleolar osteotomy with multiple drill holes and closed osteoclasis was used to correct rotational deformities of the tibia in patients with
Between July 2000 and April 2004, 19 patients with bilateral spastic
Purpose of the study: Equinus in patients with
This study evaluates outcomes of hip adductor surgery in children with
We report the results of Vulpius transverse gastrocsoleus
recession for equinus gait in 26 children with
Aim: Prospective study to evaluate the results and the technique of 63 proximal femoral osteotomies in 39
The goal of the present study was to evaluate the results of a one-stage operation performed on dislocated hips in children with infantile
Abstract. Objectives. Single-event multilevel surgery (SEMLS) is the standard orthopaedic treatment for gait abnormalities in children with diplegic
Objective: To evaluate the outcomes and complications of one-stage and two-stage combined anterior-posterior spine fusion, and to document which procedure is more efficacious and provides better results. Study Design-Material: A retrospective study was performed including 45 pediatric patients with spastic quadriplegic
Purpose of study: To assess functional, clinical and radiological outcomes of 30 children (60 hips) with whole body
Objective: To evaluate the effect of spinal fusion from T1, T2 to the sacrum with pelvic fixation using unit rod instrumentation on the ambulatory potential of pediatric patients with
Aims. Single event multilevel surgery (SEMLS) has been shown to improve
gait in children with
Adverse effects of different preparations of Botulinus Toxin were studied. 97 episodes of injections in 67 children with
Introduction. Correction and arthrodesis for cervical kyphosis associated with atetoid
Children with
Transepiphyseal separation of the neck of the femur following grand mal seizures is described in two children with
We reviewed the outcome in 24 children with bilateral spastic
The disadvantages of hip spica casts following hip surgery for
Objective: To evaluate the outcome of spinal fusion with unit rod in pediatric patients with
Objective: To evaluate the outcome of spinal fusion with unit rod in pediatric patients with
We have reviewed the cervical spine radiographs of 180 patients with athetoid
Purpose: The difficulty children with
Five cases of Kienbock's disease occurring in a group of fifty-three adults with
Scoliosis and hip subluxation/dislocation are common and often coexistent problems encountered in patients with
Introduction and Objective. Clinically, it is considered that spastic muscles of patients with
We have considered the indications for and results of transplanting pronator teres to extensor carpi radialis brevis in
In order to treat painful subluxation or dislocation secondary to
Purpose. The authors have used the Edinburgh Visual Gait Score (VGS) in the management of diplegic
Purpose. The purpose of this paper is to describe the outcomes of major hip surgery for children with
Background: Ankle-foot orthoses (AFO) are frequently recommended to children with CP to improve their functional ambulatory ability, namely to increase walking velocity and stride length, and decrease cadence. Several studies examined the effectiveness of different types of AFOs based on gait analysis. AFOs however, are usually prescribed upon clinical examination alone. Based on our first year experience at the Dana Gait Lab not all AFOs improved function significantly. Objective: To investigate the effect of prescribed AFOs on gait performance of children with
The purpose was to develop an objective measurement system to assist in the prescription of supportive seating for non-ambulant
Objective: To evaluate the outcomes and complications of one-stage and two-stage combined anterior-posterior spine fusion, and to document which procedure is more efficacious and provides better results. Study Design-Material: A retrospective study was performed including 45 pediatric patients with spastic quadriplegic
Aim: To assess functional outcome after calcaneal neck lengthening osteotomy in