SURGICAL PROCEDURES PROLONG AMBULATION IN PATIENTS WITH DUCHENNE MUSCULAR DYSTROPHY

PROCEDIMENTOS CIRÚRGICOS PROLONGAM A MARCHA PARA PACIENTES COM DISTROFIA MUSCULAR DE DUCHENNE

ABSTRACT

Objective  The aim of this study was to evaluate the effect of surgical procedures on maintaining ambulation for Duchenne patients.

Methods  This retrospective cohort study evaluated 35 patients for whom surgery was recommended at our institution from 2012 to 2020.

Results  Twenty-seven patients were operated on before gait loss, and eight after. In this study, surgical treatment allowed recovery and prolongation of gait for 38.6 months, on average. The sooner the surgery was performed, the better the results were; logistic regression analysis showed that each day of delay after gait loss decreased the chances of success by 0.2%. The optimal interval for intervention was up to 12 months after gait loss.

Conclusion  Our results thus corroborate the evidence that surgical interventions are beneficial for these patients and suggest a not previously described time window for achieving better outcomes. Level of Evidence lll; Retrospective, Comparative Study of Surgical Interventions.

Keywords:
Duchenne Muscular Dystrophy; Treatment; Tenotomies