Unilateral versus bilateral peri-ilial pelvic osteotomies combined with proximal femoral osteotomies in children with cerebral palsy: Perioperative complications

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dc.authorwosidDomzalski, Marcin E/M-3523-2016
dc.contributor.authorInan, Muharrem
dc.contributor.authorSenaran, Hakan
dc.contributor.authorDomzalski, Marcin
dc.contributor.authorLittleton, Arron
dc.contributor.authorDabney, Kirk
dc.contributor.authorMiller, Freeman
dc.date.accessioned2024-08-04T21:02:19Z
dc.date.available2024-08-04T21:02:19Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe purpose of this study is to evaluate if bilateral peri-ilial pelvic osteotomies (PIPO) combined with proximal femoral varus derotation osteotomies (VDRO) influenced postoperative complications in children with spastic quadriplegia. Bilateral and unilateral hip subluxation or dislocation secondary to spasticity was present in 29 and 61 patients, respectively. The children were divided into 2 groups: group I were to be performed a surgery for unilateral PIPO associated with bilateral VDRO, and group 2 were to be performed a surgery for bilateral PIPO and VDRO. The average age of patients at initiation Of Surgery was 11.7 years (range 5-20 years) for group 1 and 10.7 years (range, 5-19 years) for group 2. The hospital stay was similar for group 1 and 2 (P = 0.797), which was 9 days. In group 1, 11 (18%) of 61 children needed an average of 2 days (range, 1-7 days) in the intensive care unit postoperatively, and 4 of these 11 patients were reintubated because of respiratory problems. In group 2, 6 (20%) of 29 children were transferred to the intensive care unit postoperatively for all average of 2 days (range, 1-4 days) and 3 of these 6 children were reintubated because Of respiratory problems. In conclusion, respiratory problems and anemia were the most common early postoperative complications. which occur with a similar rate in children with spastic quadriplegia who underwent bilateral or unilateral peri-ilial pelvic osteotomy(ies) combined with proximal femoral osteotomies. We believe that bilateral hip procedures including PIPO, proximal femoral osteotomies, and soft-tissue release call be performed safely in I stage and, based on this data, the staged procedure would probably have the same risk as the first procedure.en_US
dc.identifier.doi10.1097/01.bpo.0000226277.08825.c2
dc.identifier.endpage550en_US
dc.identifier.issn0271-6798
dc.identifier.issn1539-2570
dc.identifier.issue4en_US
dc.identifier.pmid16791078en_US
dc.identifier.startpage547en_US
dc.identifier.urihttps://doi.org/10.1097/01.bpo.0000226277.08825.c2
dc.identifier.urihttps://hdl.handle.net/11616/104675
dc.identifier.volume26en_US
dc.identifier.wosWOS:000238740000023en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcerebral palsyen_US
dc.subjectperi-ilial pelvic osteotomyen_US
dc.subjectfemoral osteotomyen_US
dc.subjectcomplicationsen_US
dc.titleUnilateral versus bilateral peri-ilial pelvic osteotomies combined with proximal femoral osteotomies in children with cerebral palsy: Perioperative complicationsen_US
dc.typeArticleen_US

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