Evidence map›Paper›PMID 33620528›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Long-term follow-up after multilevel surgery in cerebral palsy.

Rosa Visscher, Nadine Hasler, Marie Freslier, Navrag B Singh, William R Taylor, Reinald Brunner, Erich Rutz

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624280 (Does Orthopedic Surgery Improve Gait Efficiency in Children With Cerebral Palsy? A Retrospective Study), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06624280 completednot on this mapstarted 2024, after this paper: background citation

Does Orthopedic Surgery Improve Gait Efficiency in Children With Cerebral Palsy? A Retrospective Study

TypeobservationalSponsorAzienda USL Reggio Emilia - IRCCSRan2024 to 2024Enrolled78ConditionsCerebral Palsy (CP)Armssingle-event multilevel surgery
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Rosa Visscher *Laboratory for Movement Biomechanics, Institute for Biomechanics, ETH Zurich, HCP H16.1, Leopold-Ruzicka-Weg 4, 8093, Zurich, Switzerland. rosa.visscher@hest.ethz.ch.ORCID http://orcid.org/0000-0003-2817-9359
Nadine Hasler *Laboratory for Movement Biomechanics, Institute for Biomechanics, ETH Zurich, HCP H16.1, Leopold-Ruzicka-Weg 4, 8093, Zurich, Switzerland.
Marie FreslierLaboratory of Movement Analysis, University Children's Hospital Basel (UKBB), Spitalstrasse 33, 4056, Basel, Switzerland.
Navrag B SinghLaboratory for Movement Biomechanics, Institute for Biomechanics, ETH Zurich, HCP H16.1, Leopold-Ruzicka-Weg 4, 8093, Zurich, Switzerland.
William R TaylorLaboratory for Movement Biomechanics, Institute for Biomechanics, ETH Zurich, HCP H16.1, Leopold-Ruzicka-Weg 4, 8093, Zurich, Switzerland.
Reinald BrunnerLaboratory of Movement Analysis, University Children's Hospital Basel (UKBB), Spitalstrasse 33, 4056, Basel, Switzerland.
Erich RutzLaboratory of Movement Analysis, University Children's Hospital Basel (UKBB), Spitalstrasse 33, 4056, Basel, Switzerland.
ETH Zurich · CHRoyal Children's Hospital · AUUniversity Children’s Hospital Basel · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSingle-event multilevel surgery (SEMLS) is frequently used to correct pathological gait patterns in children with bilateral spastic cerebral palsy (BSCP) in a single session surgery. However, in-depth long-term evaluation reports of gait outcomes are limited. Therefore, we investigated if SEMLS is able to correct lower extremity joint and pelvic angles during gait towards typically developing gait patterns (TDC) in children with BSCP, and if so, if this effect is durable over a 10-year period. MATERIALS AND

methodsIn total 13 children with BSCP GMFCS level II at time of index-surgery between the ages of 7.7-18.2 years at the time of SEMLS were retrospectively recruited. Three-dimensional gait data were captured preoperatively, as well as at short-, mid-, and long-term post-operatively, and used to analyze: movement analysis profile (MAP), gait profile score (GPS), and lower extremity joint and pelvic angles over the course of a gait cycle using statistical parametric mapping.

resultsIn agreement with previous studies, MAP and GPS improved towards TDCs after surgery, as did knee extension during the stance phase (ɳ

conclusionsWhile the overall gait pattern improved, our results showed specific aspects of the gait cycle actually deteriorated post-SEMLS and that a majority of the participants needed additional surgery, supporting previous statements for the use of multilevel surgery rather than SEMLS. The results highlight that the field should not only focus on the overall gait scores when evaluating treatment outcomes but should offer additional long-term follow-up of lower extremity function.

Indexed as

Cerebral PalsyGait Disorders, NeurologicAdolescentBiomechanical PhenomenaChildFollow-Up StudiesGaitHumansRetrospective StudiesTreatment OutcomeCerebral palsyClinical gait analysisLongitudinal careLong-term outcomesMultilevel surgeryStatistical parametric mapping

Identifiers

PMID33620528
OpenAlexW3132013770

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.