The effect of osteotomy on bowing and height in children with X-linked hypophosphatemia.
The clinical records of 40 patients with X-linked hypophosphatemia who were treated and followed for at least 36 months were examined retrospectively.
The patients were divided into those treated with medication only (group A) and those treated with medication and surgery (group B).
At follow-up, significant improvement in bowing angles was noted for group B patients compared with those treated medically.
There was, however, no improvement in the height of children in group A, and there was a significant decrease in height among the children treated surgically (group B).
Neither height nor bowing angles of femurs or tibias at presentation predicted the need for future osteotomies.
However, children who eventually needed surgery were found to be obese at presentation significantly more frequently than children who did not require osteotomy.
Mots-clés Pascal : Rachitisme hypophosphatémique, Efficacité traitement, Ostéotomie, Chimiothérapie, Etude statistique, Etude comparative, Etats Unis, Amérique du Nord, Amérique, Développement staturopondéral, Angle, Facteur risque, Obésité, Enfant, Homme, Vitamine D, Système ostéoarticulaire pathologie, Ostéopathie, Appareil urinaire pathologie, Rein pathologie, Tubulopathie, Rachitisme vitaminorésistant, Maladie héréditaire, Chirurgie, Traitement
Mots-clés Pascal anglais : Hypophosphatemic rickets, Treatment efficiency, Osteotomy, Chemotherapy, Statistical study, Comparative study, United States, North America, America, Somatic growth, Angle, Risk factor, Obesity, Child, Human, Vitamin D, Diseases of the osteoarticular system, Bone disease, Urinary system disease, Kidney disease, Tubulopathy, Vitamin resistant rickets, Genetic disease, Surgery, Treatment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0070910
Code Inist : 002B25I. Création : 31/05/1999.