Table 1: Characteristics of children pre-Multilevel Surgery (MLS) and details of the MLS operation.
Characteristics |
HSP (n = 15) |
HSP (n = 9) > 1.5 yrs |
CP (n = 9) |
GMFCS level I |
6 |
4 |
4 |
GMFCS level II |
6 |
4 |
5 |
GMFCS level III |
3 |
1 |
0 |
Male |
10 |
6 |
5 |
Female |
5 |
3 |
4 |
Mean [range] age at operation, years |
11.6 [5.3-18.9] |
11.4 [6.8-18.9] |
10.5 [8.3-14.9] |
Mean weight pre-operative, kilograms |
37.13 |
37.7 |
30.43 |
Mean height pre-operative, meters |
1.4 |
1.41 |
1.34 |
Bony procedure |
|
||
Femoral derotation osteotomy |
6 |
4 |
6 |
Femoral varisation osteotomy |
0 |
0 |
0 |
Femoral extension osteotomy |
1 |
0 |
1 |
Femoral derotation-varisation (DVO) |
5 |
3 |
0 |
Femoral derotation-extension |
3 |
2 |
1 |
Tibial derotation osteotomy |
5 |
3 |
6 |
Calcaneal lengthening osteotomy |
1 |
0 |
1 |
Patellar distalisation |
3 |
2 |
3 |
Talonavicular fusion |
1 |
0 |
1 |
Soft tissue procedure |
|
|
|
Lengthening m. psoas |
3 |
4 |
7 |
Lengthening Hamstrings |
3 |
3 |
7 |
Lengthening m. gastrocnemius |
2 |
2 |
7 |
Lengtheningtib. posterior |
0 |
0 |
1 |
Lengthening Adductors |
3 |
1 |
1 |
Transfer m. rectus femoris |
6 |
4 |
7 |
Botox |
9 |
5 |
0 |
HSP: Hereditary Spastic Paraplegia; CP: Cerebral Palsy; GMFCS: Gross Motor Function Classification System.