Refractures after Operative Fixation in Severe Spastic Cerebral Palsy: A case report.

, Ryu, Ji Eun; , Yoo, Sun Hee; , Choi, Gyu Hwan; , Lee, Be Na

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(5):587-590.

Ryu, Ji Eun , Yoo, Sun Hee , Choi, Gyu Hwan , Lee, Be Na

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. serrom@hanmail.net

경직성 뇌성마비 환아에서 골절의 수술 후 발생한 여러차례의 재골절 −증례 보고−

유지은, 유순희, 최규환, 이베나

가톨릭대학교 의과대학 재활의학교실

Abstract

Patients with severe cerebral palsy (CP) are susceptible to bone fractures due to low bone mineral density, deformity from contracture and developmental disability. We experienced a 12-year-old spastic CP female who sustained recurrent fracture of the right femur. The first episode occurred when she had been moved passively by another child in residential care. She underwent operative treatment with plate fixation, but seventeen days after operation, spasticity of legs aggravated and refracture happened at the fixation site. She underwent re-operative fixation, but at three days after the second operation, she sustained another fracture at the top of the plate, for which she underwent the third operation. She was then referred to our department for scissoring patterns of the lower extremities. We performed bilateral obturator nerve block which relieved patient's spasticity. We think that her recurrent fracture may be related with ignored risk factor of refracture such as uncontrolled spasticity. (J Korean Acad Rehab Med 2010; 34: 587-590)

Key Words: Refracture, Cerebral palsy, Spasticity