title: Three-dimensional evaluation of skeletal deformities of the pelvis and lower limbs in ambulant children with cerebral palsy.
abstract: Skeletal abnormalities, affecting posture and walking pattern, increase with motor impairment in children with cerebral palsy (CP). However, it is not known whether these skeletal malalignments occur in children with slight motor impairment. Our aim was to evaluate skeletal malalignment at the level of the pelvis and lower limbs in ambulant children with CP, with slight motor impairment, using a low dose biplanar X-ray technique. Twenty-seven children with spastic CP (mean age: 10.9±4years, 7 Hemiplegia, 20 Diplegia, GMFCS levels I:17, II:10), with no previous treatments at the hips and knees, underwent EOS(®) biplanar X-rays. A control group consisting of 22 typically developing children was also included. Three-dimensional reconstructions of the pelvis and lower limbs were performed in order to calculate 11 radiological parameters related to the pelvis, acetabulum and lower limbs. Pelvic incidence and sacral slope were significantly increased in children with CP compared to TD children (48°±7° vs. 43°±8°, 42°±7° vs. 38°±5°, respectively, p=0.003). Acetabular parameters did not significantly differ between the two groups. Femoral anteversion and neck shaft angle were significantly increased in children with CP (25°±12° vs. 14°±7°, p<0.001; 134°±5° vs. 131°±5°, p=0.005 respectively). No difference was found for tibial torsion. This study showed that even slightly impaired children with CP have an anteverted and abducted femur and present positional and morphological changes of the pelvis in the sagittal plane. The orientation of the acetabulum in 3D seems to not be affected when children with CP present slight motor impairment.
authors.affiliation: Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon; Gait Analysis Laboratory, SESOBEL, Zouk Mikael, Lebanon.
authors.forename: Abir
authors.initials: A
authors.lastname: Massaad
authors.affiliation: Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon; Gait Analysis Laboratory, SESOBEL, Zouk Mikael, Lebanon; Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, Paris, France. Electronic address: ayman.assi@gmail.com.
authors.forename: Ayman
authors.initials: A
authors.lastname: Assi
authors.affiliation: Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Bakouny
authors.affiliation: Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Sauret
authors.affiliation: Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon.
authors.forename: Nour
authors.initials: N
authors.lastname: Khalil
authors.affiliation: Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, Paris, France.
authors.forename: Wafa
authors.initials: W
authors.lastname: Skalli
authors.affiliation: Laboratory of Biomechanics and Medical Imaging, Faculty of Medicine, University of Saint-Joseph, Beirut, Lebanon; Gait Analysis Laboratory, SESOBEL, Zouk Mikael, Lebanon; Htel-Dieu de France Hospital, University of Saint-Joseph, Beirut, Lebanon.
authors.forename: Ismat
authors.initials: I
authors.lastname: Ghanem
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications* / Q000175:diagnosis; D002648:Child; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology*; D035002:Lower Extremity / Q000000981:diagnostic imaging*; D008297:Male; D010045:Outpatients; D010388:Pelvis / Q000000981:diagnostic imaging*; D011187:Posture; D011859:Radiography; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016138:Walking / Q000502:physiology; D055815:Young Adult
keywords: 3D reconstructions; Cerebral palsy; Children; Lower limbs; Pelvis; Posture