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경직성 뇌성마비 환자의 보행능력 향상을 위한 근·골격계 수술

Other Titles
 Musculoskeletal surgeries for optimization of ambulation ability in patients with spastic cerebral palsy 
 김현우  ;  곽윤해 
 Journal of the Korean Medical Association (대한의사협회지), Vol.51(5) : 475-482, 2008 
Journal Title
 Journal of the Korean Medical Association (대한의사협회지) 
Issue Date
Cerebral palsy ; Gait ; Musculoskeletal Surgeries
Cerebral palsy is a disorder of movement and posture that arises from a congenital or acquired lesion of the immature brain. While the underlying cause is static, the musculoskeletal manifestations are progressive overtime. A variety of gait abnormalities are common, and orthopedic surgery typically is indicated when contractures or deformities decrease functions, cause pain, or interfere with activities of daily life. Surgical procedures should be scheduled to minimize the number of hospitalizations and interference with school and social activities. They can be divided into several groups of procedures; (1) to correct static or dynamic deformity, (2) balance muscle power across a joint, (3) reduce spasticity, and (4) stabilize uncontrollable joints. The clinical decision-making paradigm, consisting of clinical history, physical examination, diagnostic imaging, quantitative gait analysis, and examination under anesthesia makes it possible for single stage multi-level surgeries to reduce the long-term morbidity.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Yoon Hae(곽윤해) ORCID logo https://orcid.org/0000-0002-0596-1228
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
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