Impact of the operative delay and the degree of neurologic sequelae on recurrence of excised heterotopic ossification in patients with traumatic brain injury
Autor: | François Genêt, Alexis Schnitzler, Clément Chehensse, Philippe Denormandie, Christine Lautridou, Claire Jourdan |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Traumatic brain injury Physical Therapy Sports Therapy and Rehabilitation Recurrence risk Young Adult Interquartile range Recurrence medicine Humans In patient Neurologic sequelae business.industry Ossification Heterotopic Rehabilitation Middle Aged medicine.disease Surgery Treatment Outcome Anesthesia Brain Injuries Case-Control Studies Heterotopic ossification Female Neurology (clinical) business |
Zdroj: | The Journal of head trauma rehabilitation. 27(6) |
ISSN: | 1550-509X |
Popis: | The timing of surgery with regard to recurrence risk after neurologic heterotopic ossification (HO) excision is still debated. This study investigated the association between recurrence risk after HO excision in traumatic brain injury (TBI) patients and (1) the operative delay and (2) the degree of neurologic sequelae (Garland status). A case-control study was performed. Patients who developed troublesome HO requiring surgery after TBI with (case, n = 16) or without recurrence (control, n = 64) were retrospectively included. Other matching criteria were sex and age at the time of surgery (± 4 years). The median delay for first HO surgery was 13.7 months (interquartile range: 9.0-37.1) for the case group and 13.2 months (interquartile range: 7.8-30.0) for the control group. No significant link was found between recurrence and operative delay (P = .54), even after inclusion of all matching factors (P = .53), or Garland status (P = .81). The inclusion of Garland status into the model did not change this result (P = .64). After TBI, no link was found between HO operative delay and recurrence. In spite of a common notion of a relationship between initial severity of TBI and HO development, no link was found between HO recurrence risk and the severity of sequelae. |
Databáze: | OpenAIRE |
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