Multilevel surgery in adults with cerebral palsy

Putz, C.; Mertens, E.M.; Wolf, S.; Gantz, S.; Braatz, Frank; Döderlein, L.; Dreher, T.

doi:10.1016/j.gaitpost.2015.06.107

Cited by 3 publications

(11 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The combination of operative interventions in each patient that was carried out contained the SEMLS concept as the gold standard. 22,25,35…”

Section: Discussionmentioning

confidence: 99%

“…This study constitutes a subgroup analysis of our previously published study and analyzes the influence of gastrocnemius-soleus intramuscular aponeurotic recession and Achilles tendon lengthening as part of SEMLS in adults with bilateral CP and a equinus deformity. 25 All operative procedures were performed by 3 senior orthopedic surgeons (T.D., L.D., F.B.). Multilevel surgery in adults included femoral and tibial osteotomies, muscle tendon lengthening, tendon transfers, and stabilization of the foot.…”

Section: Methodsmentioning

confidence: 99%

“…Further multilevel interventions were performed in case of additional torsional problems and instability of the foot. 25 Postoperative management included early mobilization in a walking cast for 6 weeks, if no further bony procedures were performed. In case of supplemental osteotomies at different levels of the affected side, the treatment included 6 weeks’ immobilization in a cast and additionally weight bearing for 6 weeks with a walking cast.…”

Section: Methodsmentioning

confidence: 99%

“…5,16 Based on 3-dimensional gait analysis, the operative approach to correct gait disorders in skeletally mature patients with cerebral palsy (CP) is single-event multilevel surgery (SEMLS). 22,25 Multiple procedures for the correction of equinus deformity in children with CP have been described primarily for fixed equinus. 12,13,21,34,36 Operative treatment for equinus gait in children is successful, if multilevel surgery is done in combination with orthoses and rehabilitation.…”

mentioning

confidence: 99%

“…6,40 Our research group has investigated a large series of adult patients with CP who underwent SEMLS. 25…”

mentioning

confidence: 99%

See 4 more Smart Citations

Equinus Correction During Multilevel Surgery in Adults With Cerebral Palsy

et al. 2018

View full text Add to dashboard Cite

show abstract

“…The combination of operative interventions in each patient that was carried out contained the SEMLS concept as the gold standard. 22,25,35…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

“…6,40 Our research group has investigated a large series of adult patients with CP who underwent SEMLS. 25…”

mentioning

confidence: 99%

See 3 more Smart Citations

Equinus Correction During Multilevel Surgery in Adults With Cerebral Palsy

et al. 2018

View full text Add to dashboard Cite

show abstract

Adults with Cerebral Palsy Require Ongoing Neurologic Care: A Systematic Review

Smith

Gannotti

Hurvitz

et al. 2021

Annals of Neurology

View full text Add to dashboard Cite

Cerebral palsy (CP) neurologic care and research efforts typically focus on children. However, most people with CP are adults. Adults with CP are at increased risk of new neurologic conditions, such as stroke and myelopathy, that require ongoing neurologic surveillance to distinguish them from baseline motor impairments. Neurologic factors could also contribute to the motor function decline, chronic pain, and chronic fatigue that are commonly experienced by adults with CP. Based on a systematic literature review, we suggest (1) guidelines for neurologic surveillance and neurologist referral and (2) clinical research questions regarding the evolving neurologic risks for adults with CP.

show abstract

Orthopedic treatment of the lower limbs in spastic paralysis

Deng

Zeng

et al. 2020

Brain Science Advances

View full text Add to dashboard Cite

Spastic paralysis of the limb mainly results from the central lesion, in which spastic cerebral palsy is the common cause. Due to durative muscle spasm in spastic cerebral palsy, it is often accompanied by the formation of secondary musculoskeletal deformities, resulting in limb motor disability. Based on its pathogenesis, surgical treatment is currently applied: selective posterior rhizotomy (SPR) or orthopedic surgery. The primary purpose of early orthopedic surgery was simply to correct limb deformities, which usually led to the recurrence of deformity as a result of the presence of spasticity. With the application of SPR, high muscle tone was successfully relieved, but limb deformity was still present postoperatively. Therefore, this study aimed to elaborate on the management of orthopedic surgery, common deformities of the lower limb, and orthopedic operative methods; discuss the relationship between SPR and orthopedic procedure for limb deformity; and focus on the indications, timing of intervention, and postoperative outcome of different surgical methods.

show abstract

Multilevel surgery in adults with cerebral palsy

Cited by 3 publications

References 35 publications

Equinus Correction During Multilevel Surgery in Adults With Cerebral Palsy

Equinus Correction During Multilevel Surgery in Adults With Cerebral Palsy

Adults with Cerebral Palsy Require Ongoing Neurologic Care: A Systematic Review

Orthopedic treatment of the lower limbs in spastic paralysis

Contact Info

Product

Resources

About