Orthopedic surgery after selective dorsal rhizotomy in children with cerebral palsy: A matched cohort study.

ABSTRACT:

Aim

To test whether selective dorsal rhizotomy (SDR) changes the incidence of subsequent orthopedic surgery in children with cerebral palsy.

Method

This was a matched cohort study. Using historical data from a single center, we identified two groups of individuals based on their history of SDR (yes-SDR and no-SDR), matched at baseline on key clinical variables. We defined 10 orthopedic surgery categories that accounted for more than 95% of surgery recorded in our gait center database. We then fitted Kaplan-Meier estimates of cumulative incidence for each surgery, stratified according to SDR status.

Results

We obtained excellent comprehensive baseline matching. Foot and ankle bone surgery and femoral derotation osteotomy exhibited 15% to 20% higher cumulative incidence

SUBMITTER: Schwartz MH 

PROVIDER: S-EPMC12683306 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature