Prevalence of fractures in children with Cerebral Palsy. Cross-sectional Cohort Study

Authors

  • Hernando Gaitán-Lee Pontificia Universidad Javeriana. Bogotá, Colombia
  • Carlos Alberto Sánchez-Correa Pontificia Universidad Javeriana. Bogotá, Colombia
  • Daniel Torres-Mejía Universidad de Cartagena. Cartagena, Colombia
  • Manuela Quiroga-Carrillo Instituto Roosevelt. Bogotá, Colombia
  • José Luis Duplat-Lapides Instituto Roosevelt. Bogotá, Colombia
  • Mónica Cediel-Echeverry Instituto Roosevelt. Bogotá, Colombia

DOI:

https://doi.org/10.1016/j.rccot.2021.02.013

Keywords:

cerebral palsy, fracture, prevalence, Children, children

Abstract

Background: Cerebral palsy (CP) is a group of non-progressive movement and posture disorders that occurs as a result of an injury to the brain during development. It is associated with fractures mainly affecting the supracondylar region of the femur. The general objective of thestudy was to determine the prevalence of fractures in children with CP at the Roosevelt Institute between January and December 2017.
Methods: A descriptive cross-sectional study was carried out taking as variables age, sex, functional level (GMFCS), use of anticonvulsants and presence of gastrostomy, defining the outcome as the presence of fracture.
Results: 648 patients with cerebral palsy were identified, within which a total of 5 patients presented fractures for a calculated prevalence of 0.0187, all were located in the supracondylar region of the femur. Two patients (40%) received orthopedic management and three patients (60%) surgical management with osteosynthesis. Two patients (40%) presented GMFCS I, 1 patient (20%) GMFCS II and 2 patients (40%) GMFCS V. No patient had a gastrostomy or received anticonvulsants.
Discussion: The incidence of fractures in the study population was lower than that reported in the literature, the supracondylar region of the femur was the most affected in the present study, without complications during follow-up. No association with gastrostomy or use of anticonvulsants was identified.
Evidence Level: III

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Author Biographies

Hernando Gaitán-Lee, Pontificia Universidad Javeriana. Bogotá, Colombia

Residente Ortopedia y Traumatología, Pontificia Universidad Javeriana, Bogotá, Colombia.

Carlos Alberto Sánchez-Correa, Pontificia Universidad Javeriana. Bogotá, Colombia

Residente Ortopedia y Traumatología, Pontificia Universidad Javeriana, Bogotá, Colombia.

Daniel Torres-Mejía, Universidad de Cartagena. Cartagena, Colombia

Residente Ortopedia y Traumatología, Universidad de Cartagena, Cartagena, Colombia.

Manuela Quiroga-Carrillo, Instituto Roosevelt. Bogotá, Colombia

Instituto Roosevelt, Bogotá, Colombia.

José Luis Duplat-Lapides, Instituto Roosevelt. Bogotá, Colombia

Ortopedista Infantil, Instituto Roosevelt, Bogotá, Colombia.

Mónica Cediel-Echeverry, Instituto Roosevelt. Bogotá, Colombia

Pediatra, Instituto Roosevelt, Bogotá, Colombia.

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Published

2021-04-08

How to Cite

1.
Gaitán-Lee H, Sánchez-Correa CA, Torres-Mejía D, Quiroga-Carrillo M, Duplat-Lapides JL, Cediel-Echeverry M. Prevalence of fractures in children with Cerebral Palsy. Cross-sectional Cohort Study. Rev. colomb. ortop traumatol. [Internet]. 2021 Apr. 8 [cited 2024 May 19];35(2):164-8. Available from: https://revistasccot.org/index.php/rccot/article/view/173

Issue

Vol. 35 No. 2 (2021)

Section

Original research

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