Assessing the quality of life in children with severe forms of spastic paralysis after reconstructive surgery of the hip joints as part of multilevel orthopedic interventions

Abstract

BACKGROUND: Hip dislocation causes a reduction or loss of passive verticalization, negatively affects sitting posture, and predisposes to the development of early coxarthrosis with severe pain and severe osteoporosis and formation of a vicious alignment of the limbs, which worsens the child’s quality of life.

AIM: To assess the quality of life and motor capabilities of children with cerebral palsy who underwent reconstructive surgery of the hip joints as part of multi-level interventions based on literature data and our own experience.

MATERIALS AND METHODS: Treatment in 68 children who underwent surgical treatment as part of multi-level interventions, where the central link of the pathology was hip subluxation/dislocation, was analyzed.

RESULTS: Surgical reconstructive treatment improved the quality of life to varying degrees in all patients. The improvement occurred by reducing absence from social events/school, reducing or completely relieving pain, and improving rehabilitation potential.

CONCLUSION: Performing multilevel interventions, including reconstructive surgery of the hip joint, in children with severe cerebral palsy leads to increased quality of life — physical and psychosocial functioning.

Keywords

cerebral palsy / hip dislocation / pain syndrome / the quality of life / multilevel orthopedic intervention

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