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

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....

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Main Authors:	Nik Abdul Adel, Nik Alyani, Awang, Mohd Shukrimi, A. Y, Yusma, Abdul Razak, Ardilla Hanim, Loh, Li Long
Format:	Article
Language:	English
Published:	Malaysian Orthopaedic Association (MOA) 2019
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/74790/ http://irep.iium.edu.my/74790/ http://irep.iium.edu.my/74790/18/74790%20Single%20Event%20Multilevel%20Surgery.pdf

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spelling	iium-747902019-11-17T16:58:12Z http://irep.iium.edu.my/74790/ Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience Nik Abdul Adel, Nik Alyani Awang, Mohd Shukrimi A. Y, Yusma Abdul Razak, Ardilla Hanim Loh, Li Long RD701 Orthopedics 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. Malaysian Orthopaedic Association (MOA) 2019-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/74790/18/74790%20Single%20Event%20Multilevel%20Surgery.pdf 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 https://www.morthoj.org/supplements/moa-2019/index.php
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Nik Abdul Adel, Nik Alyani Awang, Mohd Shukrimi A. Y, Yusma Abdul Razak, Ardilla Hanim Loh, Li Long Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
description	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.
format	Article
author	Nik Abdul Adel, Nik Alyani Awang, Mohd Shukrimi A. Y, Yusma Abdul Razak, Ardilla Hanim Loh, Li Long
author_facet	Nik Abdul Adel, Nik Alyani Awang, Mohd Shukrimi A. Y, Yusma Abdul Razak, Ardilla Hanim Loh, Li Long
author_sort	Nik Abdul Adel, Nik Alyani
title	Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
title_short	Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
title_full	Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
title_fullStr	Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
title_full_unstemmed	Single event multilevel surgery in spastic patient : A Hospital Tengku Ampuan Afzan (HTAA) experience
title_sort	single event multilevel surgery in spastic patient : a hospital tengku ampuan afzan (htaa) experience
publisher	Malaysian Orthopaedic Association (MOA)
publishDate	2019
url	http://irep.iium.edu.my/74790/ http://irep.iium.edu.my/74790/ http://irep.iium.edu.my/74790/18/74790%20Single%20Event%20Multilevel%20Surgery.pdf
first_indexed	2023-09-18T21:45:50Z
last_indexed	2023-09-18T21:45:50Z
_version_	1777413443435888640

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

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