Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis.
10.4055/cios.2016.8.2.187
- Author:
Hun Jae JUNG
1
;
Ji Yeon YOON
;
Min Kyung OH
;
Young Chang KIM
;
Jae Hyun KIM
;
Tae Woong EOM
;
Kun Bo PARK
Author Information
1. Department of Orthopaedic Surgery, Seoul Bumin Hospital, Seoul, Korea.
- Publication Type:Meta-Analysis ; Original Article
- Keywords:
Cerebral palsy;
Pelvis;
Hip;
Rotation
- MeSH:
Cerebral Palsy*;
Child;
Hip Joint;
Hip*;
Humans;
Muscle Spasticity*;
Pelvis;
Pilot Projects
- From:Clinics in Orthopedic Surgery
2016;8(2):187-193
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: There are several different opinions regarding the improvements seen on the transverse plane after soft tissue surgery alone in independently ambulant patients with cerebral palsy. We performed a meta-analysis using data from previous studies to identify the effects of soft tissue surgery alone on pelvic and hip rotation in children with spastic diplegia. METHODS: We conducted a pilot study to evaluate the improvement in pelvic and hip rotation after muscle-tendon lengthening surgery in children with spastic diplegia. We also searched EMBASE and PubMed and selected 2 previous studies using the same test conditions with kinematic data on the pelvis and hip joints. A meta-analysis of the results of these 3 studies, including this pilot study, was then performed. RESULTS: The meta-analysis results showed an external rotation decrease (p = 0.005) in the mean difference of pelvic rotation of -3.61 (95% confidence interval [CI], -6.13 to -1.09) and a mean difference in hip rotation of 6.60 (95% CI, 3.34 to 9.86), indicating a significant increase in the hip external rotation after surgery (p < 0.001). CONCLUSIONS: In independently community-ambulant pediatric patients with spastic diplegia, pelvic retraction and hip internal rotation could be improved after soft tissue surgery.
