{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:35:36Z","timestamp":1767706536581,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,3,4]],"date-time":"2019-03-04T00:00:00Z","timestamp":1551657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the long\u2010term outcome of selective dorsal rhizotomy (<jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>) on gait and the influence of previous femoral derotation osteotomy (<jats:styled-content style=\"fixed-case\">FDO<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In a retrospective cohort study of 29 children (16 females, 13 males) with spastic diplegic cerebral palsy, 14 children received <jats:styled-content style=\"fixed-case\">FDO<\/jats:styled-content> before <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>, whereas 15 children with moderate or near\u2010normal internal femoral rotation during gait received only <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>. Three\u2010dimensional gait data were obtained pre\u2010<jats:styled-content style=\"fixed-case\">FDO<\/jats:styled-content>, pre\u2010<jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>, 1\u00a0year post\u2010<jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>, and 3 to 5\u00a0years post\u2010<jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>, to study the Gait Profile Score (<jats:styled-content style=\"fixed-case\">GPS<\/jats:styled-content>), pelvic tilt, and knee and hip kinematics. A mixed analysis of variance with the repeated measure \u2018time\u2019 was performed between different time points for each group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Children who first underwent <jats:styled-content style=\"fixed-case\">FDO<\/jats:styled-content> and then <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content> started with a more complex gait pathology but showed fewer gait deviations 3 to 5\u00a0years post\u2010<jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>, compared to children who only underwent <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content>. This was reflected by a lower <jats:styled-content style=\"fixed-case\">GPS<\/jats:styled-content> and pelvic tilt, as well as less knee flexion in stance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>The effect of <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content> on gait is only significant in the mid\u2010 to long\u2010term if the bony lever arms are also corrected. Thus, the clinical outcome after <jats:styled-content style=\"fixed-case\">SDR<\/jats:styled-content> is dependent on good proximal alignment.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:p>\n<jats:list list-type=\"bullet\">\n\n<jats:list-item><jats:p>Pelvic tilt remains stable after femoral derotation osteotomy (FDO)+selective dorsal rhizotomy (SDR).<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>But pelvic tilt deteriorates after SDR only.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Hip and knee extension is better after FDO+SDR than after SDR only.<\/jats:p><\/jats:list-item>\n\n<jats:list-item><jats:p>Spasticity reduction (by SDR) combined with bony lever arm correction (by FDO) improves gait.<\/jats:p><\/jats:list-item>\n<\/jats:list>\n<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.14192","type":"journal-article","created":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T04:31:26Z","timestamp":1551760286000},"page":"1196-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Role of femoral derotation on gait after selective dorsal rhizotomy in children with spastic cerebral palsy"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8158-5535","authenticated-orcid":false,"given":"Anja","family":"Van Campenhout","sequence":"first","affiliation":[{"name":"Department of Orthopaedics University Hospital Leuven Leuven Belgium"},{"name":"Department of Development and Regeneration KU Leuven Leuven Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Huenaerts","sequence":"additional","affiliation":[{"name":"Department of 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