Article

Adolescents with cerebral palsy (CP) who walk or ambulate often have an abnormal
clinical and radiological spinal profile during pubertal growth compared with
adolescents of the same age without neuromotor impairments. Therefore, in the
following study, we aimed to conduct a radiological assessment of static data on
the lumbar-pelvic-femoral complex in ambulatory children with CP to compare these
data with those of an asymptomatic population.
The CP population was comprised of
119 children and the asymptomatic population was comprised of 652 children. The
large format (30x90cm) sagittal X-rays were taken while subjects were in a
comfortable position in which knees and hips were in maximal extension. Analyses
were performed using Optispine((R)) software to measure the parameters of an
X-ray of the profile of the spine, pelvis and femurs. Comparing, the two
populations, we found no difference in the shape parameter (pelvic incidence) but
we did find significant differences in the positional parameters (pelvic tilt and
sacral slope) of the pelvis. We found a difference in the curvature and
orientation of lumbar lordosis as well as in the number of vertebrae involved in
the kyphosis and its orientation. There was also a significant difference in the
C7 plumb line. We can say that the CP population is not structurally different
from the control population, but that parameters become disturbed during growth.
These disturbances should be identified and monitored so that changes can be
detected early and progression can be prevented.
CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS