Outcome of Single Event Multilevel Soft Tissue Release for Spastic Diplegic Cerebral Palsy
Gajaseni, P.; Cheewakongkiat, P.; Surijamorn, P.; Srisaarn, T.
Journal of the Medical Association of Thailand 100(3): 301-305
2017
ISSN/ISBN: 0125-2208 PMID: 29911788 Document Number: 17445
We evaluated the results of single event multilevel surgery for treatment of contractures of lower extremities in spastic diplegic cerebral palsy patients in Phramongkutklao Hospital. The present study included 40 patients (23 boys, 17 girls, mean age 8.9 years) with spastic diplegic cerebral palsy, who underwent single event multilevel surgery for the treatment of soft tissue contractures in lower extremities secondary to spasticity between 2006 and 2009. Evaluations were based on pre- and post-operative (follow-up for three years), physical examination, and video observational gait pattern on the Gross Motor Function Classification System (GMFCS) scores and Functional Mobility scales (FMS). Range of motion of all operated joints were increased post-operatively, resulting in significant improvement in posture, gait, and balance of patients. The mean GMFCS scores were 4.2 pre-operatively, 4.1 at post-operatively 1-year, 3.8 at post-operative 2-year, and 3.0 at post-operative 3-year, which were significantly improved two and three years post-operative period (p<0.05). The mean FMS scores were improved at 5 meters post-operative at 1-, 2-, and 3-year (p<0.05). The mean FMS scores at 50 meters were improved at 3-year post-operative period. Single event multilevel surgery can help spastic diplegic cerebral palsy patients improve range of motions, gait patterns, and mobility functions.
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