title: [Bone mineral density in a population with severe infantile cerebral palsy].
abstract: OBJECTIVE
  To determine the bone mineral density (BMD) values in children and adolescents with moderate and severe infantile cerebral palsy (ICP) in our catchment area, and compare these values with a healthy population.
  
  
  METHODS
  A prognostic study of cases and controls for the assessment of BMD in patients from 2 to 18 years old with infantile cerebral palsy belonging to the Gross Motor Function Classification System (GMFCS) Groups IV and V. The BMD measurements were performed at distal femur level, dividing this region into 3 areas following the forearm protocol.
  
  
  RESULTS
  The BMD for each of the three areas studied results in the final sample of 69 patients were much lower than the reference levels. There was a statistically significant difference (P<.05) between the BMD values in the two sub-groups studied.
  
  
  CONCLUSIONS
  The greater the involvement, from a neurological point of view, in patients classified as Group V shows a very low BMD compared to patients of similar sex and age. The acquisition of bone capital in patients with ICP does not follow the normal pattern of the healthy population.
authors.affiliation: Sección de Ortopedia Infantil, Hospital Universitario Virgen del Rocío, Sevilla, España. angtatay@telefonica.net
authors.forename: A
authors.initials: A
authors.lastname: Tatay Díaz
authors.forename: D M
authors.initials: DM
authors.lastname: Farrington
authors.forename: F J
authors.initials: FJ
authors.lastname: Downey Carmona
authors.forename: M E
authors.initials: ME
authors.lastname: Macías Moreno
authors.forename: J J
authors.initials: JJ
authors.lastname: Quintana del Olmo
mesh_terms: D015502:Absorptiometry, Photon; D000293:Adolescent; D015519:Bone Density; D016022:Case-Control Studies; D002547:Cerebral Palsy / Q000150:complications* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D006801:Humans; D010024:Osteoporosis / Q000175:diagnosis / Q000209:etiology*; D011379:Prognosis; D012720:Severity of Illness Index