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Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study

Authors :
Benoit Bisson
Laurence Gottrand
Madeleine Aumar
Audrey Nicolas
Rony Sfeir
Julien Labreuche
André Thevenon
Frederic Gottrand
CHU Lille
Institute for Translational Research in Inflammation - U 1286 (INFINITE (Ex-Liric))
Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)
Centre de référence des affections congénitales et malformatives de l'oesophage
Université de Lille, Droit et Santé
IEM Dabbadie [Villeneuve d'Ascq]
APF France handicap
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 (METRICS)
Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille)
Université de Lille, LillOA
Université de Lille
Univ. Artois
Univ. Littoral Côte d’Opale
CIC CHU ( Lille)/inserm
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Centre Hospitalier Régional Universitaire [Lille] [CHRU Lille]
Hôpital Jeanne de Flandre [Lille]
Unité de Recherche Pluridisciplinaire Sport, Santé, Société (URePSSS) - ULR 7369 - ULR 4488 [URePSSS]
Lille Inflammation Research International Center (LIRIC) - U995
Source :
Frontiers in Pediatrics, Vol 9 (2021), Frontiers in Pediatrics, Frontiers in Pediatrics, 2021, 9, pp.762078. ⟨10.3389/fped.2021.762078⟩
Publication Year :
2021
Publisher :
Frontiers Media S.A., 2021.

Abstract

Introduction: Scoliosis is a well-described complication of esophageal atresia (EA) caused by the associated spine malformations and/or thoracotomy. However, the sagittal posture abnormalities in patients with EA have not been described. The aim of this study was to evaluate the prevalence of and risk factors for sagittal posture abnormalities at the age of 6 years in patients operated on for EA.Methods: A prospective cohort of 123 patients with EA was examined by the same rehabilitation doctor at the time of a multidisciplinary visit scheduled at the age of 6 years. Children presenting with scoliosis (n = 4) or who missed the consultation (n = 33) were excluded. Univariate and multivariate logistic regression models with Firth's penalized-likelihood approach were used to identify risk factors associated with sagittal posture anomalies. Candidate risk factors included neonatal characteristics, associated malformations, atresia type, postoperative complications, psychomotor development retardation, orthopedic abnormalities, and neurological hypotonia.Results: The prevalence rates of sagittal posture abnormalities were 25.6% (n = 22; 95% CI, 16.7–36.1%). Multivariate analysis showed that minor orthopedic abnormalities (OR: 4.02, 95% CI: 1.29–13.43, P = 0.021), and VACTERL (OR: 3.35, 95% CI: 1.09–10.71, P = 0.042) were significant risk factors for sagittal posture abnormalities.Conclusion: This study shows that sagittal posture anomalies occur frequently in children operated on at birth for EA and are not directly linked to the surgical repair. These children should be screened and treated using postural physiotherapy, especially those with VACTERL and minor orthopedic abnormalities.

Details

Language :
English
ISSN :
22962360
Volume :
9
Database :
OpenAIRE
Journal :
Frontiers in Pediatrics
Accession number :
edsair.doi.dedup.....cac46667611d2be70c989ade8cd73327
Full Text :
https://doi.org/10.3389/fped.2021.762078/full