BACKGROUND: To assess the effect of single-stage multilevel soft-tissue surgery (Single Event Multiple Level Resections, SEMLR) on @entity85 in @entity1 with @entity306 ( @entity306 ) with static contracture(s) in lower limbs. @entity1 AND METHODS: Study included 34 @entity1 (M:F, 23:11) with mean age of 9.53 +/- 3.92 years (4-16 years). Among them 22 had @entity306 and four each had @entity1688 and right and left @entity1158 . Fourteen @entity1 (41.2%) had their intelligence quotient (IQ) in the normal range (IQ >/= 80), while others had @entity1032 ( @entity1032 ) of varying severity: borderline @entity1032 (IQ = 70-79) in 12, mild @entity1032 (IQ = 50-69) in 5, and moderate @entity1032 (IQ = 35-49) in @entity1 3. All @entity1 underwent surgery (total number of procedures 153, average 4.5 procedures/ @entity1 ) over a period of 30 months (April 2005 to September 2007). Improvement in functional abilities and locomotion was assessed using Gross Motor Functional Classification Scale (GMFCS) scores and by physical examination. RESULTS: Significant improvement in function was observed (P = 0.000) after surgery when comparing the preoperative and postoperative GMFCS scores. All @entity1 were maintaining ambulation at a mean follow-up duration of 13.12 +/- 6.07 months (3-24 months), with five @entity1 using knee-ankle-foot orthoses (KAFO), 22 using ankle-foot orthoses (AFO), and six @entity1 using knee gaiters. Sixteen @entity1 were using walker, and two were using crutches as assistive devices. CONCLUSION: This study suggests that @entity306 @entity1 with good trunk control and static contractures at @entity2720 in the lower limbs can be made ambulant with single-stage multilevel soft-tissue surgery. It has to be a team effort of the surgeon and the rehabilitation team in the postoperative period for the attainment of satisfactory goal.

Single-stage multilevel soft-tissue surgery in the lower limbs with XXXX : Experience from a rehabilitation unit.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS'] @entity1688 :: ('MESH:D011782', 'Disease') :: ['quadriplegia'] @entity1158 :: ('MESH:D006429', 'Disease') :: ['hemiplegia'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental retardation', 'MR'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['multiple joints'] @entity85 :: ('MESH:D009140', 'Disease') :: ['deformities and locomotion'] @entity306 :: ('MESH:D002547', 'Disease') :: ['cerebral palsy', 'diplegia', 'CP']
@entity306 :: (MESH:D002547,Disease) :: ['spastic cerebral palsy']
