Contribution of clinical gait analysis to single-event multi-level surgery in children with cerebral palsy

Orthop Traumatol Surg Res. 2017 Feb;103(1S):S105-S111. doi: 10.1016/j.otsr.2016.11.004. Epub 2016 Nov 15.

Abstract

Clinical gait analysis (CGA) has been proven useful in understanding the gait disturbances seen in children and adolescents with cerebral palsy. Another major benefit provided by CGA is a clinical and scientific evaluation of how orthopaedic surgical procedures modify gait. The information provided by instrumented CGA complements the clinical data, and the two must be interpreted jointly. Although there is some variability in the surgical details of therapeutic strategies, CGA undoubtedly influences the planning of surgery. Although CGA improves surgical outcomes, these remain challenging to predict. CGA seems cost-effective. Internal hip rotation gait is used as an example to illustrate those benefits.

Keywords: Cerebral palsy; Clinical gait analysis; Multi-level surgery.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Bone Anteversion / diagnostic imaging
  • Bone Anteversion / surgery*
  • Cerebral Palsy / diagnostic imaging
  • Cerebral Palsy / surgery*
  • Child
  • Decision Support Techniques
  • Gait / physiology*
  • Humans
  • Orthopedic Procedures / methods