Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience

Nik Abdul Adel, Nik Alyani and Awang, Mohd Shukrimi and A. Y, Yusma and Abdul Razak, Ardilla Hanim and Loh, Li Long (2019) Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience. Malaysian Orthopaedic Journal, 13 (Supplement A). p. 1. ISSN 1985-2533 E-ISSN 2232-111X

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Abstract

INTRODUCTION: Single event multilevel surgery (SEMLS) is common procedure to improve gait and functioning of children with spastic cerebral palsy (CP).The case series is aim to observe the post-operative outcomes of gross motor function (GMFCS) and hip migration index (MI) in spastic patient. MATERIALS & METHODS: Patient underwent SEMLS at HTAA from 2014 to 2018. The data were data taken from case notes during follow-up at rehabilitation clinic. RESULTS: There were 10 patients, 6 were boys.Mean age at surgery was 6.6 years old. 7 having spastic diplegic CP and 1 each having triplegic and quadriplegic CP. 4 patients were in GMFCS IV before surgery, 3 had GMFCS III, 2 in GMFCS II and 1 in GMFCS V. 2 patients had second surgery at 1 year apart:1 underwent talipes equinovarus deformity correction and another had repeated SEMLS. Only 5 patients had pre and post-operative pelvis radiograph where 4 patients (80%) improved in hip MI. 40% of patient have 1 level improvement. 75% of patients with GMFCS IV had improvement compared to GMFCS III (33%). DISCUSSIONS: 73.5% has good improvement of hip MI postoperatively with 0.3% risk of hip surgery1. Incidence of hip displacement related to GMFCS level2.Evidence proved that SEMLS improved gait3 and stability of GMFCS4. CONCLUSION: SEMLS may affect the improvement and stability of GMFCS level and hip MI; and that effect may be level-dependent.

Item Type:	Article (Meeting Abstract)
Additional Information:	8324/74790
Uncontrolled Keywords:	SEMLS, spastic cerebral palsy, hip migration index, GMFCS
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	Dr Nik Alyani Nik Abdul Adel
Date Deposited:	15 Oct 2019 09:01
Last Modified:	18 Nov 2019 00:58
URI:	http://irep.iium.edu.my/id/eprint/74790

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