FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY
Objective: Cerebral palsy (CP) is a neurodevelopmental disease characterized by movement and posture disorders due to non-progressive damage. Femur varization-derotation osteotomy is a surgical procedure performed to correct femoral anteversion in patients with CP. The aim of this study is to determ...
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Istanbul University Press
2022-07-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CDB1BF4138AF4B99BE282FE6EBDF8292 |
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| author | Nur Canpolat Suna Arat Tugce Yeniocak Fuat Bilgili Mehmet İlke Büget |
| author_facet | Nur Canpolat Suna Arat Tugce Yeniocak Fuat Bilgili Mehmet İlke Büget |
| author_sort | Nur Canpolat |
| collection | DOAJ |
| description | Objective: Cerebral palsy (CP) is a neurodevelopmental disease characterized by movement and posture disorders due to non-progressive damage. Femur varization-derotation osteotomy is a surgical procedure performed to correct femoral anteversion in patients with CP. The aim of this study is to determine the factors affecting morbidity in children with CP sequelae who underwent corrective osteotomy. Materials and Methods: Children with CP sequelae who underwent correction osteotomy were included in the study between 2007 and 2020. Information about the patients was obtained from the archived files and evaluated retrospectively. 105 patients were divided into two groups according to the perioperative morbidity: Group 1 (no morbidity) including 62 patients and group 2 (presence of morbidity) including 43 patients. Results: We did not report any significant differences between group 1 and 2 in terms of age and body mass index. In Group 2, ASA scores were higher significantly (p=0.006). Prognostic nutritional index was significantly lower in Group 2 (p=0.001). There was no significant difference in length of hospital and intensive care unit stay. Conclusion: Malnutrition is an important factor that causes an increase in postoperative morbidity in pediatric patients with CP sequelae. In patients with CP sequelae planned for varization-derotation osteotomy, a treatment plan can be prepared on a patient basis to reduce postoperative morbidity. |
| format | Article |
| id | doaj-art-209c2929b6884aed90584be732a1d3a9 |
| institution | OA Journals |
| issn | 1305-6441 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | İstanbul Tıp Fakültesi Dergisi |
| spelling | doaj-art-209c2929b6884aed90584be732a1d3a92025-08-20T01:50:27ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412022-07-0185332132510.26650/IUITFD.1089783123456FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMYNur Canpolat0https://orcid.org/0000-0003-1490-3027Suna Arat1https://orcid.org/0000-0001-9830-7366Tugce Yeniocak2https://orcid.org/0000-0001-9237-6424Fuat Bilgili3https://orcid.org/0000-0002-9417-2166Mehmet İlke Büget4https://orcid.org/0000-0002-8321-6346İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeSağlık Bilimleri Üniversitesi, Istanbul, Turkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: Cerebral palsy (CP) is a neurodevelopmental disease characterized by movement and posture disorders due to non-progressive damage. Femur varization-derotation osteotomy is a surgical procedure performed to correct femoral anteversion in patients with CP. The aim of this study is to determine the factors affecting morbidity in children with CP sequelae who underwent corrective osteotomy. Materials and Methods: Children with CP sequelae who underwent correction osteotomy were included in the study between 2007 and 2020. Information about the patients was obtained from the archived files and evaluated retrospectively. 105 patients were divided into two groups according to the perioperative morbidity: Group 1 (no morbidity) including 62 patients and group 2 (presence of morbidity) including 43 patients. Results: We did not report any significant differences between group 1 and 2 in terms of age and body mass index. In Group 2, ASA scores were higher significantly (p=0.006). Prognostic nutritional index was significantly lower in Group 2 (p=0.001). There was no significant difference in length of hospital and intensive care unit stay. Conclusion: Malnutrition is an important factor that causes an increase in postoperative morbidity in pediatric patients with CP sequelae. In patients with CP sequelae planned for varization-derotation osteotomy, a treatment plan can be prepared on a patient basis to reduce postoperative morbidity.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CDB1BF4138AF4B99BE282FE6EBDF8292cerebral palsyvarization-derotation osteotomymalnutritionprognostic nutritional index |
| spellingShingle | Nur Canpolat Suna Arat Tugce Yeniocak Fuat Bilgili Mehmet İlke Büget FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY İstanbul Tıp Fakültesi Dergisi cerebral palsy varization-derotation osteotomy malnutrition prognostic nutritional index |
| title | FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY |
| title_full | FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY |
| title_fullStr | FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY |
| title_full_unstemmed | FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY |
| title_short | FACTORS AFFECTING MORBIDITY IN CHILDREN WITH CEREBRAL PALSY SEQUELAE WHO UNDERWENT CORRECTIVE OSTEOTOMY |
| title_sort | factors affecting morbidity in children with cerebral palsy sequelae who underwent corrective osteotomy |
| topic | cerebral palsy varization-derotation osteotomy malnutrition prognostic nutritional index |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CDB1BF4138AF4B99BE282FE6EBDF8292 |
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