title: [Electrophysical surveillance in limb lengthening in 25 children and adolescents].
abstract: OBJECTIVE
  To evaluate neurological tolerance during limb lengthening in children and adolescents.
  
  
  METHODS
  Retrospective study of 25 children and adolescents [15 girls, 10 boys; mean age 11.3 years, range 5-18 years] undergoing limb lengthening. Limbs involved were the femur [11 cases], tibia [10 cases], radius [3 cases] and humerus [1 case], and lengthening was 1 mm/day, adjusted depending on clinically and electrophysically observed alterations during weekly surveillance.
  
  
  RESULTS
  Lengthening in 8 cases was accompanied by electrophysiological deterioration and in 1 by clinical alteration without electrophysiological anomaly. Eight of 25 lengthenings had to be slowed and 1 discontinued.
  
  
  CONCLUSIONS
  This work confirms poor neurological tolerance with limb lengthening. It shows the interest of clinical and electrophysiological monitoring in preventing severe neurological accidents with such lengthening.
authors: Centre de rééducation fonctionnelle Marc-Sautelet, 64, rue de la Liberté, 59650 Villeneuve d'Ascq, France. xavier.malliopoulos@laposte.net
authors: X
authors: X
authors: Malliopoulos
authors: B
authors: B
authors: Maisonneuve
authors: D
authors: D
authors: Fron
authors: B
authors: B
authors: Herbaux
mesh_terms: D000200:Action Potentials / Q000502:physiology*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000294:innervation / Q000502:physiology; D009431:Neural Conduction / Q000502:physiology*; D019857:Osteogenesis, Distraction; D012189:Retrospective Studies