Por favor, use este identificador para citar o enlazar este ítem: https://hdl.handle.net/20.500.12008/55846
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dc.contributor.author Autor Rehbein, Ignacio-
dc.contributor.author Autor Teske, Viviana-
dc.contributor.author Autor Pagano, Ignacio-
dc.contributor.author Autor Cúneo, Alejandro-
dc.contributor.author Autor Pérez, María Elena-
dc.contributor.author Autor von Heideken, Johan-
dc.contributor.filiacion Filiación Rehbein Ignacio, Universidad de la República (Uruguay). Facultad de Medicina. Clínica de Traumatología y Ortopedia Pediátrica-
dc.contributor.filiacion Filiación Teske Viviana, Universidad de la República (Uruguay). Facultad de Medicina. Clínica de Traumatología y Ortopedia Pediátrica-
dc.contributor.filiacion Filiación Pagano Ignacio, Universidad de la República (Uruguay). Facultad de Medicina. Clínica de Traumatología y Ortopedia Pediátrica-
dc.contributor.filiacion Filiación Cúneo Alejandro, Universidad de la República (Uruguay). Facultad de Medicina. Clínica de Traumatología y Ortopedia Pediátrica-
dc.contributor.filiacion Filiación Pérez María Elena, Universidad de la República (Uruguay). Facultad de Medicina. Clínica de Traumatología y Ortopedia Pediátrica-
dc.contributor.filiacion Filiación von Heideken Johan, Karolinska University Hospital (Suecia). Karolinska Institutet.-
dc.date.accessioned Fecha ingreso 2026-07-02T12:53:08Z-
dc.date.available Fecha disponible 2026-07-02T12:53:08Z-
dc.date.issued Año de publicación 2020-
dc.description.abstract Resumen Background: Orthopedic surgery in children with cerebral palsy (CP) aims to improve function and prevent deformities. Each child's condition in CP is unique and many co-variables influence surgical decision-making including a patient's age and their functional level. Little is known about the frequency of different types of orthopedic surgery in children with CP who have varied functional levels, particularly in countries from Latin America. Aim: To assess the type of orthopedic surgical procedures in relation to age and gross motor function in children with CP. Methods: This retrospective study included all children with CP (n = 245) treated with elective orthopedic surgery at a Uruguayan university hospital between October 2010 and May 2016 identified from a surgical database. Eighteen children (7%) were lost to follow-up due to missing medical charts. Demographics, gross motor function classification (GMFCS), and orthopedic surgeries were obtained from the medical records of 227 children. Chi-squared tests and analysis of variance were used to assess the frequency of surgery, accounting for GMFCS levels. Mean age for soft tissue vs bone surgery was compared with the independent samples t-test. Results: A total of 711 surgical procedures were performed between 1998 and 2016. On average, children had 3.1 surgical procedures and the mean age at first surgery was 8.0 years. There were no significant differences in age at first surgery among GMFCS levels (P = 0.47). The most common procedures were lower leg soft tissue surgery (n = 189, 27%), hip tenotomy (n = 135, 19%), and hamstring tenotomy (n = 104, 14%). For children with GMFCS level I, the mean number of surgeries per child [1.8 (range 1-9)] differed significantly at P < 0.05 in children with GMFCS levels II [3.2 (1-12)], III [3.2 (1-8)], IV [3.3 (1-13)], and V [3.6 (1-11)]. Within II, III, IV, and V, there was no significant difference in mean number of surgeries per child when comparing across the groups. The proportion of soft tissue surgery vs bone surgery was higher in GMFCS levels I-III (80%-85%) compared to levels IV (68%) and V (55%) (P < 0.05). Conclusion: The frequency of surgical procedures per child did not increase with higher GMFCS level after level I. However, the proportion of bone surgery was higher in GMFCS levels IV-V compared to I-III.es
dc.format.extent Extensión 11 p.es
dc.format.mimetype Formato application/pdfes
dc.identifier.citation Citación Rehbein I, Teske V, Pagano I y otros. Analysis of orthopedic surgical procedures in children with cerebral palsy. World Journal of Orthopedics [en línea]. 2020;11(4):222-231es
dc.identifier.doi DOI 10.5312/wjo.v11.i4.222-
dc.identifier.eissn e-ISSN 2218-5836-
dc.identifier.uri URI https://hdl.handle.net/20.500.12008/55846-
dc.language.iso Idioma enes
dc.publisher Editorial Baishideng Publishing Groupes
dc.relation.ispartof EN World Journal of Orthopedics. 2020;11(4):222-231es
dc.rights Derechos Las obras depositadas en el Repositorio se rigen por la Ordenanza de los Derechos de la Propiedad Intelectual de la Universidad de la República.(Res. Nº 91 de C.D.C. de 8/III/1994 – D.O. 7/IV/1994) y por la Ordenanza del Repositorio Abierto de la Universidad de la República (Res. Nº 16 de C.D.C. de 07/10/2014)es
dc.rights.licence Licencia Licencia Creative Commons Atribución - No Comercial (CC - By-NC 4.0)es
dc.subject Palabras clave Cerebral palsyes
dc.subject Palabras clave Childrenes
dc.subject Palabras clave Epidemiologyes
dc.subject Palabras clave Gross motor function classification systemes
dc.subject Palabras clave Surgeryes
dc.subject.other Descriptores PROCEDIMIENTOS ORTOPÉDICOSes
dc.subject.other Descriptores NIÑOes
dc.subject.other Descriptores PARÁLISIS CEREBRALes
dc.subject.other Descriptores EPIDEMIOLOGÍAes
dc.subject.other Descriptores CIRUGÍA GENERALes
dc.subject.other Descriptores ACTIVIDAD MOTORAes
dc.title Título Analysis of orthopedic surgical procedures in children with cerebral palsyes
dc.type Tipo de documento Artículoes

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