ArticleActa orthopaedica2024
The relationship between hip displacement, scoliosis, and pelvic obliquity in 106 nonambulatory children with cerebral palsy: a longitudinal retrospective population-based study.
Article in Acta orthopaedica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- The approach to hip instability in children with cerebral palsy: an umbrella review.EFORT open reviews · 2026Pooled it
- Surgical and health outcomes of non-ambulatory children with cerebral palsy and severe scoliosis: A population-based, longitudinal study.Developmental medicine and child neurology · 2026Article
- The Traffic Light Protocol: Preventing the 90° 'Point of No Return' Through Risk-Stratified Spinal Surveillance in Children with Cerebral Palsy.Journal of clinical medicine · 2026Article
- Prevalence of hip dislocation and subluxation among children with cerebral palsy: an institution-based cross-sectional study from a Sub-Saharan country.BMC pediatrics · 2025Article
- Incidence and risk factors of hip dislocation in children with cerebral palsy: A systematic review and pooled analysis.Journal of clinical orthopaedics and trauma · 2025Review
- What happens to the hip after scoliosis surgery in neuromuscular patients? Analyzing factors linked to pain, displacement, and need for surgery.Spine deformity · 2025Observational
- Lower Extremity Musculoskeletal Complications of Spastic Cerebral Palsy.Journal of orthopaedics and sports medicine · 2025Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe relationship between hip displacement (HD), pelvic obliquity (PO), and scoliosis in nonambulatory children with cerebral palsy (CP) has not been clearly elucidated. The aims of this population-based study were to examine the prevalence and temporal sequence of these deformities in nonambulatory children with CP and to evaluate how probable it is that severe unilateral HD contributes to development of scoliosis. PATIENTS AND
methodsThis longitudinal study comprised 106 nonambulatory children, enrolled in a surveillance program. Pelvic radiographs for measurements of migration percentage (MP) and PO were taken once a year from the diagnosis of HD. Spine radiographs were taken in patients with clinically detected scoliosis. Radiographic follow-up continued until skeletal maturity.
resultsClinically significant scoliosis (Cobb angle ≥ 40°) occurred in 60 patients at a mean age of 11.8 years. 65 patients developed clinically significant HD (MP ≥ 40%) at a mean age of 4.8 years. 24 patients had no significant hip or spine deformities, 22 had HD only, 17 had scoliosis only, and 43 had both deformities. HD was diagnosed before scoliosis in all except 1 of the patients with both deformities. 14 of 19 patients with severe unilateral HD (MP ≥ 60%) had scoliosis convexity to the opposite side of the displaced hip.
conclusionThe combination of scoliosis and HD was frequent, and HD was diagnosed first in almost all the patients. HD might be a contributory cause of scoliosis in patients with severe, unilateral HD, PO, and later scoliosis with convexity to the opposite side.
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