ArticleBMC musculoskeletal disorders2026
Reconstructive hip surgery short-term outcomes and redislocation rate in non-ambulatory children with spastic cerebral palsy: a prospective cohort study.
Article in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHip displacement is a major cause of pain and reduced quality of life in non-ambulatory children with spastic cerebral palsy. Reconstructive hip surgery aims to restore stable femoral head containment, improve comfort, and facilitate daily care. This study evaluated short-term radiographic and caregiver-reported outcomes after reconstructive hip surgery in non-ambulatory children with spastic cerebral palsy, including exploratory subgroup analyses of varus derotational osteotomy (VDRO) alone and VDRO combined with Dega pelvic osteotomy, and the 12-month redislocation rate.
methodsThis prospective cohort study included 40 non-ambulatory children with spastic cerebral palsy (50 hips; mean age 6.54 ± 1.07 years). Procedure selection was based on preoperative radiographic findings and intraoperative hip stability. Thirteen hips underwent VDRO alone, and 37 hips underwent VDRO combined with Dega pelvic osteotomy for acetabular dysplasia (acetabular index > 25°) or intraoperative posterolateral instability. Primary aim was to measure migration percentage and acetabular index preoperatively and during 12-months follow-up. Secondary aim was to assess 12-month redislocation rate and caregiver-reported quality of life using the Caregiver Priorities and Child Health Index of Life with Disabilities (CPCHILD) questionnaire at baseline and 12 months. Analyses used generalized estimating equation models (GEE) to account for bilateral hips and repeated measures.
resultsIn the overall cohort, migration percentage improved from 88.12 to 20.64 and acetabular index from 30.65 to 25.01 at 12 months (both p < 0.001). In exploratory subgroup analyses, 12-month migration percentage decreased from 70.83 to 33.15 after VDRO alone and from 93.94 to 15.99 after VDRO + Dega. Redislocation occurred in 8 of 50 hips (16.0%) overall, including 46.2% after VDRO alone and 5.4% after VDRO + Dega. CPCHILD total scores improved significantly in both groups, with no significant between-group difference in change.
conclusionsReconstructive hip surgery was associated with short-term radiographic improvement and improved caregiver-reported outcomes in this cohort of non-ambulatory children with spastic cerebral palsy. Although 12-month redislocation was lower after VDRO + Dega, the non-randomized design, baseline imbalance, and short follow-up limit comparative inference.
Indexed as
Identifiers
What OpenQuestion holds
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.