{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:14:57Z","timestamp":1784290497970,"version":"3.55.0"},"reference-count":19,"publisher":"Universa BV","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>The aim of the study is to find the correlation between vitamin D level and the severity of slippage and bilateral development in slipped capital femoral epiphysis (SCFE) cases if any. Thirty-nine patients with moderate-severe stable SCFE were evaluated regarding their vitamin D level and to which extent the severity of vitamin D deficiency, if present, can be correlated with the severity and bilaterality of the slip. Vitamin D serum level was assessed pre- operatively for all patients. In case of deficiency, the patient underwent in situ pinning unless performed before his\/her presentation. Alongside, he\/she received a vitamin D course until correction prior to the definitive surgery (Imh\u00e4user osteotomy with osteochondroplasty) 6-12 weeks after. Thereafter, osteotomy healing and physis closure were monitored radiologically. Results show that all patients but one had vitamin D deficiency, with an average of 14.39 ng\/mL, necessitating vitamin D therapy before proceeding to the definitive surgery. No correlation existed between vitamin D level and Southwick angle severity with a p-value of 0.85. A negative correlation existed between vitamin D level and bilaterality, but not statistically significant (p-value 0.192). Patients\u2019 osteotomy healing was uneventful, and physeal closure was achieved in all the cases that had in situ pinning. We conclude that the severity of Vitamin D deficiency could be linked to the bilateral development of SCFE but not the severity of slippage. Treatment of Vitamin D deficiency facilitates physeal closure.<\/jats:p>","DOI":"10.52628\/88.2.8784","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T11:03:01Z","timestamp":1661338981000},"page":"217-221","source":"Crossref","is-referenced-by-count":9,"title":["Is the level of vitamin D deficiency correlated with the severity and bilaterality in slipped capital femoral epiphysis? A case series study"],"prefix":"10.52628","volume":"88","author":[{"given":"Shady","family":"Elbeshry","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek Hassan","family":"Abdelaziz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Saeed","family":"Aly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shady","family":"Mahmoud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2022,8]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Lehmann C, Arons R, Loder R, Vitale M. The Epidemiology of Slipped Capital Femoral Epiphysis : An Update. Journal of Pediatric Orthopaedics. 2006;26(3):286-90.","DOI":"10.1097\/01.bpo.0000217718.10728.70"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Southwick W. Compression fixation after biplane inter-trochanteric osteotomy for slipped capital femoral epiphysis. A technical improvement. Journal of Bone and Joint Surgery, Am. 1973;55(6):1218-1224.","DOI":"10.2106\/00004623-197355060-00009"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Witbreuk M, van Kemenade FJ, Van Der Sluijs JA, Jansma EP, Rotteveel J, van Royen BJ. Slipped capital femoral epiphysis and its association with endocrine, metabolic and chronic diseases : a systematic review of the literature. J Child Orthop. 2013,213-23.","DOI":"10.1007\/s11832-013-0493-8"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Loder RT, Aronsson DD, Dobbs MB, Weinstein SL. Slipped capital femoral epiphysis. 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Clin Orthop Relat Res. 1996;322: 28-36.","DOI":"10.1097\/00003086-199601000-00004"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Farrier AJ, Ihediwa U, Khan S, et al. The seasonality of slipped upper femoral epiphysis - meta-analysis: A possible association with vitamin D. HIP Int. 2015;25(6):495-501.","DOI":"10.5301\/hipint.5000203"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Jingushi S, Hara T, Sugioka Y. Deficiency of a parathyroid hormone fragment containing the midportion and 1,25-dihydroxyvitamin D in serum of patients with slipped capital femoral epiphysis. J Pediatr Orthop.1997, 17:216-219.","DOI":"10.1097\/01241398-199703000-00015"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Judd J, Welch R, Clarke A, Reading IC, Clarke NM. Vitamin D Deficiency in Slipped Upper Femoral Epiphysis. 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