Assessing the quality of life in children with severe forms of spastic paralysis after reconstructive surgery of the hip joints as part of multilevel orthopedic interventions

Abstract

BACKGROUND: Hip dislocation causes a reduction or loss of passive verticalization, negatively affects sitting posture, and predisposes to the development of early coxarthrosis with severe pain and severe osteoporosis and formation of a vicious alignment of the limbs, which worsens the child’s quality of life. AIM: To assess the quality of life and motor capabilities of children with cerebral palsy who underwent reconstructive surgery of the hip joints as part of multi-level interventions based on literature data and our own experience. MATERIALS AND METHODS: Treatment in 68 children who underwent surgical treatment as part of multi-level interventions, where the central link of the pathology was hip subluxation/dislocation, was analyzed. RESULTS: Surgical reconstructive treatment improved the quality of life to varying degrees in all patients. The improvement occurred by reducing absence from social events/school, reducing or completely relieving pain, and improving rehabilitation potential. CONCLUSION: Performing multilevel interventions, including reconstructive surgery of the hip joint, in children with severe cerebral palsy leads to increased quality of life — physical and psychosocial functioning.