A REASSESSMENT OF SPINAL STABILIZATION IN SEVERE CEREBRAL-PALSY

被引：59

作者：

CASSIDY, C

CRAIG, CL

PERRY, A

KARLIN, LI

GOLDBERG, MJ

机构：

[1] Department of Orthopaedics, New England Medical Center, and Tufts University School of Medicine, Boston, MA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 06期

关键词：

CAREBURDEN; CEREBRAL PALSY; SCOLIOSIS;

D O I：

10.1097/01241398-199414060-00008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

A homogenous population of 37 institutionalized patients with scoliosis and severe cerebral palsy was evaluated to assess the impact of spinal stabilization on comfort, function, health, and ease of nursing care. Through a prospective care-burden study, a 34-month retrospective analysis, and a healthcare worker questionnaire, 17 fused patients with a mean current scoliosis of 35 degrees were compared with 20 nonfused patients with a mean scoliosis of 76 degrees. No clinically significant differences were noted in pain or pulmonary medication utilization or therapy, decubiti, function, or time for daily care. Nevertheless, the majority of healthcare workers believed that the fused patients were more comfortable.

引用

页码：731 / 739

页数：9

共 72 条

[1]

Balmer G.A., Macewen G.D., The incidence and treatment of scoliosis in cerebral palsy, J Bone Joint Surg [Br], 52, pp. 134-137, (1970)

[2]

Barabas G., Matthews W., Zumoff P., Care-load for children and young adults with severe cerebral palsy, Dev Med Child Neurol, 34, pp. 979-984, (1992)

[3]

Beardsley T., Better care, less care. Can rationing cure the ailing U.S. health care system?, Sci Am, 266, pp. 17-18, (1992)

[4]

Bell D.F., Moseley C.F., Koreska J., Unit rod segmental spinal instrumentation in the management of patients with progressive neuromuscular spinal deformity, Spine, 14, pp. 1301-1307, (1989)

[5]

Berman G.D., Kottke T.E., Ballard D.J., Effectiveness research and assessment of clinical outcome: A review of federal government and medical community involvement, Mayo Clin Proc, 65, pp. 657-663, (1990)

[6]

Bleck E.E., Deformities of the spine and pelvis in cerebral palsy, Orthopaedic Aspects of Cerebral Palsy, pp. 124-144, (1975)

[7]

Boachie-Adjei O., Lonstein J.E., Winter R.B., Koop S., Vanden Brink K., Denis F., Management of neuromuscular spinal deformities with Luque segmental instrumentation, J Bone Joint Surg [Am], 71, pp. 548-562, (1989)

[8]

Bonnett C., Brown J.C., Grow T., Thoracolumbar scoliosis in cerebral palsy. Results of surgical treatment, J Bone Joint Surg [Am], 58, pp. 328-336, (1976)

[9]

Bonnett C., Brown J.C., Perry J., Nickel V.L., Walinski T., Brooks L., Hoffer M., Stiles C., Brooks R., Evolution of treatment of paralytic scoliosis at Rancho Los Amigos Hospital, J Bone Joint Surg [Am], 57, pp. 206-215, (1975)

[10]

Brook R.H., Practice guidelines and practicing medicine. Are they compatible?, JAMA, 262, pp. 3027-3030, (1989)

← 1 2 3 4 5 6 7 8 →