GMFCS and spino-pelvi-femoral complex in ambulating or walking cerebral palsy children. retrospective study

Introduction

We have performed a radiological evaluation of static data of spine-pelvis-femur complex in walking children with cerebral palsy (CP). The data are discussed about GMFCS and after about radiological data in asymptomatic subjects.

Materials and methods

The CP population is comprised of 119 children and the asymptomatic population of 652 children.

Results

There is no significative difference concerning the form parameter (pelvic incidence=PI), on the other hand there is a significative difference on position parameters (pelvic tilt=PT and sacral slope=SS).There is a correlation between GMFCS and PI (p=0.013) and between GMFCS and PT (p=0.021).

Discussion

The PC population is not structurally different than the asymptomatic population. It will be the growth, in pathologic context, which disturb parameters. A lumbar lordosis which is not correlated with PI have to be consider like a result of the disease (postural troubles, neuro-motor disorders related with growth,…) and require a specific and early evaluation and treatment.