Journal of pediatric orthopedics
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Comparative Study
Interobserver and intraobserver reliability of Cobb angle measurement: endplate versus pedicle as bony landmarks for measurement: a statistical analysis.
The Cobb-Lippman technique measures the curve severity by measuring the angle between the upper and lower endplates of the upper-end and lower-end vertebrae, respectively, using pedicles to measure the angle when they are better visualized than the endplates. Vertebral endplates in younger children provide less distinct bony landmarks and pedicles may be more easily identifiable in these children. The purpose of this study is to evaluate the reliability of the pedicle method of the Cobb angle measurement and compare it with the conventional endplate method of measurement. ⋯ Diagnostic studies, investigating a diagnostic test, level 1.
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Different studies show the efficacy of intrathecal baclofen therapy (ITB) in patients with secondary dystonia because of cerebral palsy. These studies only report improvements related to dystonia reduction; however, none of them have assessed whether such benefit is reflected in limb function. The purpose of our study is to determine whether the effects ITB therapy in patients with secondary dystonia to cerebral palsy, in addition to reducing dystonia, may also improve upper limb function. ⋯ Therapeutic study: level 4.