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Does gender influence the long-term outcome of single-event multilevel surgery in spastic cerebral palsy?

Zwick, Ernst B.a; Švehlík, Martina,b; Kraus, Tanjaa; Steinwender, Gerharda; Linhart, Wolfgang E.a

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 448–451
doi: 10.1097/BPB.0b013e32834d4daa
Cerebral Palsy

This study compared the long-term outcome of single-event multilevel surgery in spastic diplegic cerebral palsy (CP) on the basis of sex. We hypothesized that boys would have a worse outcome than girls. Thirty-four children (19 boys and 15 girls) with diplegic spastic CP and a minimal follow-up of 10 years were included. The Gillette Gait Index was the main outcome measure. We found no differences in surgical treatment, and both groups initially benefited from the surgery. However, although girls maintained the enhanced level of walking, walking ability in boys deteriorated constantly. Such a finding suggests that sex might have an important influence on treatment outcomes in children with CP.

aDepartment of Paediatric Orthopaedics, Department of Paediatric Surgery, Medical University of Graz, Graz, Austria

bDepartment of Children and Adult Orthopaedics, 2nd Faculty of Medicine, Charles University Prague, Prague, Czech Republic

Correspondence to Martin Švehlík, MD, PhD, Paediatric Orthopaedic Unit, Department of Paediatric Surgery, Medical University of Graz; Auenbruggerplatz 34, Graz, A-8036, Austria Tel: +43 316 385 4129; fax: +43 316 385 3775; e-mail: martin.spejlik@seznam.cz

© 2012 Lippincott Williams & Wilkins, Inc.