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Incidence and sequence of scoliosis and windswept hip deformity : which comes first in 4148 children with cerebral palsy? A longitudinal cohort study

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  • معلومة اضافية
    • Publisher Information:
      Uppsala universitet, Klinisk diabetologi och metabolism Uppsala universitet, Statistiska institutionen Uppsala universitet, Centrum för klinisk forskning, Västerås Department of Neurobiology, Care Sciences and Society, Division of Family Medicine and Primary Care, Karolinska Institutet, Solna, Sweden Department of Clinical Sciences, Orthopaedics, Lund University, Lund, 221 85, Sweden 2024
    • نبذة مختصرة :
      Background The aim was to analyse whether scoliosis or windswept hip deformity (WSH) occurs first for children with cerebral palsy (CP). Methods This longitudinal cohort study using data from 1994 − 2020 (26 years) involved 41,600 measurements of 4148 children (2419 [58.3%] boys) with CP born 1990 − 2018 and registered into the Swedish CP follow-up program. Children were followed from a mean age of 2.8 [SD 1.4] years, until they developed either scoliosis or WSH or were removed at surgery. Results WSH developed first in 16.6% of the children (mean age 8.1 [SD 5.0] years), and scoliosis in 8.1% (mean age 8.1 [SD 4.9] years). The incidence of WSH was higher than scoliosis across all levels I–V of the Gross Motor Function Classification System (GMFCS), both sexes, and for those with dyskinetic (20.0%) or spastic (17.0%) CP. The incidence of scoliosis was highest (19.8%) and developed earliest in children with GMFCS level V (mean age 5.5 [SD 3.5] years), and in children with dyskinetic (17.9%) CP (mean age 7.0 [SD 4.7] years). Conclusions WSH presents earlier than scoliosis in most children with CP. Children with higher GMFCS level or dyskinetic CP are more likely to develop these deformities at a younger age.
      Jackie Casey, Andreas Rosenblad, Atli Agustsson and Henrik Lauge-Pedersen are co-authors.
    • الموضوع:
      Cerebral palsy; Cohort study; Hips; Longitudinal study; Scoliosis; Windswept hip deformity; Pediatrics; Pediatrik; Orthopaedics; Ortopedi; Article in journal; info:eu-repo/semantics/article; text
    • الرقم المعرف:
      10.1186.s12891-024-07350-z
    • Availability:
      Open access content. Open access content
      info:eu-repo/semantics/openAccess
    • Note:
      application/pdf
      English
    • Other Numbers:
      UPE oai:DiVA.org:uu-526089
      0000-0001-9408-9293
      0000-0003-3691-8326
      0000-0002-9070-249X
      0000-0003-1302-4231
      0000-0001-8373-1017
      doi:10.1186/s12891-024-07350-z
      PMID 38504256
      ISI:001187755600003
      1457642328
    • Contributing Source:
      UPPSALA UNIV LIBR
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1457642328
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