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| 1 | Analysis of orthopedic surgical procedures in children with cerebral palsy显示文摘BACKGROUND Orthopedic surgery in children with cerebral palsy(CP)aims to improve function and prevent deformities.Each child’s condition in CP is unique and many covariables influence surgical decision-making including a patient's age and their functional level.Little is known about the frequency of different types of orthopedic surgery in children with CP who have varied functional levels,particularly in countries from Latin America.AIM To assess the type of orthopedic surgical procedures in relation to age and gross motor function in children with CP.METHODS This retrospective study included all children with CP(n=245)treated with elective orthopedic surgery at a Uruguayan university hospital between October 2010 and May 2016 identified from a surgical database.Eighteen children(7%)were lost to follow-up due to missing medical charts.Demographics,gross motor function classification(GMFCS),and orthopedic surgeries were obtained from the medical records of 227 children.Chi-squared tests and analysis of variance were used to assess the frequency of surgery,accounting for GMFCS levels.Mean age for soft tissue vs bone surgery was compared with the independent samples t-test.RESULTS A total of 711 surgical procedures were performed between 1998 and 2016.On average,children had 3.1 surgical procedures and the mean age at first surgery was 8.0 years.There were no significant differences in age at first surgery among GMFCS levels(P=0.47).The most common procedures were lower leg soft tissue surgery(n=189,27%),hip tenotomy(n=135,19%),and hamstring tenotomy(n=104,14%).For children with GMFCS level Ⅰ,the mean number of surgeries per child[1.8(range 1-9)]differed significantly at P<0.05 in children with GMFCS levels Ⅱ[3.2(1-12)],Ⅲ[3.2(1-8)],Ⅳ[3.3(1-13)],and Ⅴ[3.6(1-11)].Within Ⅱ,Ⅲ,Ⅳ,and Ⅴ,there was no significant difference in mean number of surgeries per child when comparing across the groups.The proportion of soft tissue surgery vs bone surgery was higher in GMFCS levels Ⅰ-Ⅲ(80%-85%)compared to levels IV(68%)and V(55%)(P<0.05).CONCLUSION The frequency of surgical procedures per child did not increase with higher GMFCS level after level Ⅰ.However,the proportion of bone surgery was higher in GMFCS levels Ⅳ-Ⅴ compared to Ⅰ-Ⅲ. | Ignacio Rehbein Viviana Teske Ignacio Pagano Alejandro Cúneo María Elena Pérez Johan von Heideken | 2020 | World Journal of Orthopedics2020，11，4： | 2 |
| 2 | Strategies to enhance the interpretation of single-particle ambient aerosol data显示文摘 | Rehbein P J G Jeong C H McGuire M L | 2012 | Aerosol Science and Technology2012，46，5： | 1 |
| 3 | Characterization of Staufen 1 ribonucleoprotein complexes显示文摘 | Brendel C Rehbein M Kreienkamp H J Buck F Richter D Kindler S | 2004 | Biochem J2004，384，2： | 1 |
| 4 | Identification of some Aegean fish species by native isoelectric focusing 显示文摘 | Ataman C Celik U Rehbein H | 2006 | Euro Food Res Tech2006，222，1： | 1 |
| 5 | Use of mt DNA direct polymerase chain reaction(PCR)sequencing and PCR-restriction fragment length polymorphism methodologies in species identification of canned tuna显示文摘 | QUINTEIRO J SOTELO C G REHBEIN H | 1998 | Journal of Agricultural and Food Chemistry1998，46，4： | 1 |
| 6 | Cloud and fogprocessing enhanced gas-to-particle partitioning of Trimethylamine显示文摘 | Rehbein P J G Jeong C H R McGuire M L | 2011 | Environmental Science Technology2011，45，10： | 1 |
| 7 | Differentiation of sturgeon caviar by single strand conformation polymorphism (PCR-SSCP) analysis显示文摘 | Rehbein H Gonzales-Sotelo C Perez-Martin R | | 0，，： | 1 |
| 8 | Characterization of staufen 1ribonucleoprotein complexes显示文摘 | Brendel C Rehbein M Kreienkamp H J | 2004 | Biochem J2004，384，2： | 1 |
| 9 | Differentiation of sturgeon ca-iar by single strand confor- mational polymorphism ( PCR - SSCP) analysis 显示文摘 | Rehbein H Gonzales - Sotelo C Perez - Martin RI | 1999 | Ar- chi- Lebensm1999，50，4： | 1 |
| 10 | Differ- entiation of raw or processed eel by PCR - based tech- niques: restriction fragment length polymorphism analysis (RFLP) and single strand conformation polymorphism a- nalysis (SSCP) 显示文摘 | Rehbein H Sotelo C G Perez - Martin R I | 2002 | Eur Food Res Technol2002，214，2： | 1 |
| 11 | Acute-phase response of the rat pancreas protects against further aggression with severe necrotizing pancreatitis显示文摘 | Fiedler F Croissant N Rehbein C | 1998 | Crit Care Med1998，26，5： | 1 |
| 12 | Characterization of Staufen 1 ribonucleoprotein complexes显示文摘 | Brendel C Rehbein M Kreienkamp HJ | 2004 | 384 (Pt 2):239-2462004，384，2： | 1 |
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