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Clinical Outcomes of Correcting Cervical Deformity in Cerebral Palsy Patients

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Author(s)
Chang Kyu LeeHa Ra JeonDo Heum YoonKeung Nyun KimSeong YiDong Ah ShinNaobumi HosoganeKai CaoSung-Rae ChoYoon Ha 'Correspondence information about the author Yoon Ha Yoon Ha
Keimyung Author(s)
Lee, Chang Kyu
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
World Neurosugery
Issued Date
2016
Volume
96
Keyword
Cerebral palsyCervical alignmentCervical deformityCervical spondylotic myelopathyDeformity correction
Abstract
OBJECTIVE: To assess several different cervical alignment
parameters to determine the clinical relationship
between cerebral palsy (CP) with cervical spondylotic
myelopathy (CSM) and cervical deformity.
- METHODS: This study included consecutive patients
(N [ 31) with CP CSM who underwent cervical operation
between January 2006 and January 2014 and who had cervical
deformities, such as angular and translational deformities.
Cervical spine alignment was assessed with the
following parameters: C2-7 Cobb angle, C2-7 sagittal vertical
axis (SVA), and T1 slope minus C2-7 Cobb angle. Other
clinical values were the manual muscle test, spasticity, grip
and pinch test, Box and Block test, and Jebsen-Taylor Hand
Function Test. Outcome assessments (Oswestry Neck
Disability Index [NDI] and modified Barthel Index) were
obtained for all patients pre- and postoperatively.
- RESULTS: Mean follow-up duration was 3.5 years. There
were 13 patients in the corrected group and 18 in the not
corrected group. Angular and translational correction were
19.0 (C2-7 Cobb angle), 19.8 (T1 slope minus C2-7 Cobb
angle), and 16 mm (C2-7 SVA). Postoperative NDI scores
showed greater improvement in the corrected group than
the uncorrected group (P [ 0.049). In the corrected group,
grip power increased postoperatively (8.9 8.9 vs 15.5
8.3; P [ 0.021).
- CONCLUSIONS: Surgical treatment for patients with CP
CSM deformity helped alleviate symptoms. Postoperative NDI scores and hand function improved in patients with CP
CSM deformity, especially those in the corrected group.
Clinicians should consider correcting the deformity in
patients with CP CSM.
Keimyung Author(s)(Kor)
이창규
Publisher
School of Medicine
Citation
Chang Kyu Lee et al. (2016). Clinical Outcomes of Correcting Cervical Deformity in Cerebral Palsy Patients. World Neurosugery, 96, 500–509. doi: 10.1016/j.wneu.2016.08.101
Type
Article
ISSN
1878-8750
Source
https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(16)30785-9
DOI
10.1016/j.wneu.2016.08.101
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32870
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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