Outcome Prognostic Factors in MRI during Spica Cast Therapy Treating Developmental Hip Dysplasia with Midterm Follow-Up
Abstract
:1. Introduction
2. Patients and Methods
2.1. Patients Population
2.2. Treatment Technique
2.3. Measurements
2.4. Statistical Analysis
3. Results
3.1. Sonographic Evaluation
3.2. Magnetic Resonance Imaging Measurements
3.3. Radiographic Evaluation
3.4. Complications
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Sequence | FOV (mm) | Voxel Size (mm) | Slice Thickness (mm) | Gap (%) | Foldover Direction | TR (ms) | TE (ms) | Acquisition Matrix |
---|---|---|---|---|---|---|---|---|
Cor PD tse 320 | 160 | 0.5 × 0.5 × 2.0 | 2.0 | 10 | RL | 1500 | 24 | 160 |
Cor T2 tseRB 320 | 200 | 0.6 × 0.6 × 2.0 | 2.0 | 10 | FH | 3180 | 97 | 200 |
Axial T2 tseRB fs 320 | 200 | 0.6 × 0.6 × 2.0 | 2.0 | 20 | RL | 2900 | 73 | 200 |
Axial T2 tseRB 320 | 200 | 0.6 × 0.6 × 2.0 | 2.0 | 20 | RL | 3400 | 97 | 200 |
Axial PD tseR 320 | 200 | 0.6 × 0.6 × 2.0 | 2.0 | 20 | RL | 1800 | 22 | 200 |
Sag PD tse 384 re/li | 160 | 0.5 × 0.4 × 2.0 | 2.0 | 10 | AP | 1500 | 35 | 160 |
Initial Graf Type | 28 Hips Reached Alpha Angle of 64° or More after Spica Casting |
---|---|
1 | 10/28 |
2a | 3/28 |
2c | 4/28 |
3a | 5/28 |
D | 4/28 |
Unknown (no initial ultrasound) | 2/28 |
Mean Start Cast | Standard Deviation | Mean End Therapy | Standard Deviation | ||
---|---|---|---|---|---|
alpha | In total | 52.2 | 9.8 | 65.6 | 3.3 |
female | 52.2 | 9.6 | 65.7 | 3.4 | |
male | 51.8 | 11.4 | 64.5 | 1.8 | |
beta | In total | 74.2 | 9.3 | 63.9 | 6.8 |
female | 74.0 | 9.9 | 64.0 | 7.0 | |
male | 75.1 | 7.9 | 63.7 | 5.8 |
Mean First MRI | Standard Deviation | Mean Second MRI | Standard Deviation | |
---|---|---|---|---|
Abd | 53.5 (39.3–66.2) | 5.2 | 53.4 (29.0–62.1) | 6.7 |
AxAcet | 49.6 (32.8–68.2) | 7.1 | 50.0 (32.8–62.4) | 6.6 |
AxPAcet | 46.8 (36.1–63.5) | 6.0 | 46.8 (4.6–69.1) | 9.3 |
CorAcet | 25.6 (11.8–44.9) | 6.6 | 24.2 (11.7–47.6) | 7.8 |
PelvWid | 35.8 (28.7–51.0) | 5.0 | 38.2 (32.0–52.0) | 5.1 |
Years | Excellent (α ≥ 64°) | Good (α < 64°) | Poor (α < 60°) | ||||
---|---|---|---|---|---|---|---|
n | n | n | |||||
1.5–2 | AI | 65 | 28.6 (s = 4.0) | 10 | 29.5 (s = 4.2) | 1 | 26.0 |
CE | 11.3 (s = 8.3) | 8.8 (s = 8.8) | 18.0 | ||||
3 | AI | 46 | 25.1 (s = 4.8) | 9 | 24.11 (s = 5.6) | 1 | 22.0 |
CE | 16.4 (s = 5.6) | 17.8 (s = 5.6) | 21.0 | ||||
5 | AI | 26 | 19.2 (s = 4.3) | 8 | 21.5 (s = 5.2) | 1 | 17.0 |
CE | 18.4 (s = 4.0) | 18.38 (s = 3.8) | 20.0 | ||||
10 | AI | 7 | 16.3 (s = 3.9) | 3 | 15.33 (s = 5.9) | 0 | |
CE | 22.6 (s = 5.4) | 24.33 (s = 4.7) |
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Gather, K.S.; Mavrev, I.; Gantz, S.; Dreher, T.; Hagmann, S.; Beckmann, N.A. Outcome Prognostic Factors in MRI during Spica Cast Therapy Treating Developmental Hip Dysplasia with Midterm Follow-Up. Children 2022, 9, 1010. https://doi.org/10.3390/children9071010
Gather KS, Mavrev I, Gantz S, Dreher T, Hagmann S, Beckmann NA. Outcome Prognostic Factors in MRI during Spica Cast Therapy Treating Developmental Hip Dysplasia with Midterm Follow-Up. Children. 2022; 9(7):1010. https://doi.org/10.3390/children9071010
Chicago/Turabian StyleGather, Katharina Susanne, Ivan Mavrev, Simone Gantz, Thomas Dreher, Sébastien Hagmann, and Nicholas Andreas Beckmann. 2022. "Outcome Prognostic Factors in MRI during Spica Cast Therapy Treating Developmental Hip Dysplasia with Midterm Follow-Up" Children 9, no. 7: 1010. https://doi.org/10.3390/children9071010
APA StyleGather, K. S., Mavrev, I., Gantz, S., Dreher, T., Hagmann, S., & Beckmann, N. A. (2022). Outcome Prognostic Factors in MRI during Spica Cast Therapy Treating Developmental Hip Dysplasia with Midterm Follow-Up. Children, 9(7), 1010. https://doi.org/10.3390/children9071010