Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2020; 11(4): 222-231
Published online Apr 18, 2020. doi: 10.5312/wjo.v11.i4.222
Analysis of orthopedic surgical procedures in children with cerebral palsy
Ignacio Rehbein, Viviana Teske, Ignacio Pagano, Alejandro Cúneo, María Elena Pérez, Johan von Heideken
Ignacio Rehbein, Viviana Teske, Ignacio Pagano, Alejandro Cúneo, María Elena Pérez, Clínica de Traumatología y Ortopedia Pediátrica, Facultad de Medicina, Universidad de la República, Montevideo 11200, Uruguay
Johan von Heideken, Department of Women’s and Children’s Health, Karolinska Institutet, Karolinska University Hospital, Stockholm 17177, Sweden
Author contributions: All authors contributed to the study design and identified patients; Rehbein I collected the demographic data; Rehbein I, Pagano I, Teske V, and von Heideken J contributed to the data interpretation; von Heideken J performed the statistical analysis; Rehbein I, Pagano I, Teske V, and von Heideken J contributed to the manuscript preparation; Cúneo A and Pérez ME edited the manuscript.
Institutional review board statement: The study was reviewed and approved by the Centro Hospitalario Pereira Rossell Institutional Review Board.
Informed consent statement: Not applicable, this is a medical chart review.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Johan von Heideken, MD, PhD, Doctor, Pediatric Orthopaedic Surgeon, Research Scientist, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Solna, Stockholm 17177, Sweden.
Received: December 10, 2019
Peer-review started: December 10, 2019
First decision: February 20, 2020
Revised: February 21, 2020
Accepted: March 12, 2020
Article in press: March 12, 2020
Published online: April 18, 2020
Core Tip

Core tip: Little is known about the frequency of different types of orthopedic surgery in children with cerebral palsy, particularly in Latin America, as most studies related to orthopedic surgery are retrospective case series describing a specific surgery. This paper illustrated that among Uruguayan children with cerebral palsy, the number of corrective surgeries performed did not differ by functional motor ability (gross motor function classification levels) after level I, but the types of surgeries did differ by gross motor function classification levels. The proportion of soft tissue surgery vs bone surgery was higher in ambulatory children compared to non-ambulatory children.