Functional Motor Skills in Children Who Underwent Fetal Myelomeningocele Repair: Does Anatomic Level Matter?
| Autor: | Sergio Cavalheiro, Silvia Lanziotti Azevedo da Silva, Jardel Mendonça Nicácio, Maurício Mendes Barbosa, Marcos Devanir Silva da Costa, Tereza Cristina Carbonari de Faria, Patricia Alessandra Dastoli, Antonio Fernandes Moron, Italo Caprano Suriano |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Fetus medicine.diagnostic_test business.industry Knee Dislocation Magnetic resonance imaging Physical examination Surgery Lesion 03 medical and health sciences 0302 clinical medicine Lumbar 030220 oncology & carcinogenesis Orthopedic surgery Medicine Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery Motor skill |
| Zdroj: | World Neurosurgery. 149:e269-e273 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2021.02.038 |
| Popis: | Background In this study, we evaluated children who underwent prenatal myelomeningocele (MMC) repair to investigate the influence of the anatomical level of the lesion on functional motor skills and congenital orthopedic malformations. Methods This cross-sectional study evaluated children who underwent prenatal correction. The anatomical level of the lesion was classified by observing the magnetic resonance of the spine. The sensory/motor assessment was performed by physical examination to classify the status of ambulation, functional level, and functional performance according to chronological age using the Pediatric Evaluation of Disability Inventory (PEDI-CAT) scale. Results One hundred cases were evaluated; for 60%, lesions were located in the upper lumbar region and for 40%, they were located in the lower lumbar and sacral regions. The functionality, measured by the PEDI-CAT scale, showed a normal average according to age (mean 50), with 71% of children being community ambulators. Congenital orthopedic malformations were also unrelated to the injury levels, except for knee dislocation in relation to upper lumbar injury. At the functional level, we observed that for the majority, the levels of function of at least 2 vertebrae were below the anatomical level. Conclusions There were no differences in functional motor skills, walking pattern, or congenital orthopedic malformation when compared with the anatomical level of injury in patients who underwent prenatal repair of MMC, except for congenital knee dislocation. |
| Databáze: | OpenAIRE |
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