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

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 ri...

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Autores principales:	Benoit Bisson, Laurence Gottrand, Madeleine Aumar, Audrey Nicolas, Rony Sfeir, Julien Labreuche, André Thevenon, Frederic Gottrand
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	esophageal atresia VACTERL kyphosis sagittal postural patterns children Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/833bb91bd104417294a4d1a797e8afb1
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spelling	oai:doaj.org-article:833bb91bd104417294a4d1a797e8afb12021-12-01T02:15:17ZPrevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study2296-236010.3389/fped.2021.762078https://doaj.org/article/833bb91bd104417294a4d1a797e8afb12021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.762078/fullhttps://doaj.org/toc/2296-2360Introduction: 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.Benoit BissonLaurence GottrandLaurence GottrandMadeleine AumarAudrey NicolasRony SfeirJulien LabreucheAndré ThevenonFrederic GottrandFrontiers Media S.A.articleesophageal atresiaVACTERLkyphosissagittal postural patternschildrenPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	esophageal atresia VACTERL kyphosis sagittal postural patterns children Pediatrics RJ1-570
spellingShingle	esophageal atresia VACTERL kyphosis sagittal postural patterns children Pediatrics RJ1-570 Benoit Bisson Laurence Gottrand Laurence Gottrand Madeleine Aumar Audrey Nicolas Rony Sfeir Julien Labreuche André Thevenon Frederic Gottrand Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
description	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.
format	article
author	Benoit Bisson Laurence Gottrand Laurence Gottrand Madeleine Aumar Audrey Nicolas Rony Sfeir Julien Labreuche André Thevenon Frederic Gottrand
author_facet	Benoit Bisson Laurence Gottrand Laurence Gottrand Madeleine Aumar Audrey Nicolas Rony Sfeir Julien Labreuche André Thevenon Frederic Gottrand
author_sort	Benoit Bisson
title	Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
title_short	Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
title_full	Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
title_fullStr	Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
title_full_unstemmed	Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study
title_sort	prevalence of and risk factors for sagittal posture abnormalities in children born with esophageal atresia: a prospective cohort study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/833bb91bd104417294a4d1a797e8afb1
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Prevalence of and Risk Factors for Sagittal Posture Abnormalities in Children Born With Esophageal Atresia: A Prospective Cohort Study

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