Single Event Multilevel Soft Tissue Release in Spastic Diplegic Cerebral Palsy | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 236-241 PDF (647.21 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446494 | ||||
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| Authors | ||||
| Hussien Tarek Hussien Mohammed* 1; Ahmed Abdel-Hamid Shamma2; Mohamed Gamal Abdelkader2 | ||||
| 1Orthopedic Surgery Resident at National Institute of Neuromotor System, Giza, Egypt. | ||||
| 2Orthopedic Surgery Department, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: Single Event Multilevel Surgery (SEMLS) considered the main approach for correcting the deformities concerning the cerebral palsy patients. Aim: Correct the contracture and deformities in hip, knee, ankle and foot in CP children to improve movement, gait, quality of life and increase independency of the patient. Patients and methods: This was a prospective interventional study carried out on 12 CP spastic diplegic patients attending in Al-Hussein university hospital and National Institute of Neuromotor System (NINMS) outpatient clinic and managed by lower limb single event multilevel soft tissue release. Assessment was done using GMFCM-88, ROM score and spasticity score at 3 months and 6 months postoperative. Results: SEMLS performed on spastic diplegic CP patients generated a positive outcome, with a significant difference from preoperative 32.0 (IQR=28.5-34.0) and 42 (IQR=38.5-44.75) at 3 months follow-up and 46 (IQR=41.25-50.25) at 6 months follow-up with p value < 0.05. Spasticity score significantly decreased from preoperative (m= 23.08, SD=3.605) and (m=14.08, SD=4.379) at 3 months follow-up, and (m=10.33, SD=3.284) at 6 months follow-up, with p value < 0.05. ROM score significantly decreased from preoperative (m=3.67, SD=8.15) and (m=25.17, SD=7.27) at 3 months follow-up, and (m=20.42, SD=6.11) at 6 months follow-up, with a p value < 0.05. Conclusions: SEMLS is considered effective in correcting deformities with only soft tissue release in spastic diplegic CP patients with minimal complications. | ||||
| Keywords | ||||
| Spastic Diplegic; Cerebral Palsy; Single Event Multilevel Surgery; Soft Tissue Release | ||||
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