Title

Bone Measurements by Peripheral Quantitative Computed Tomography (pQCT) in Children with Cerebral Palsy

Document Type

Article

Publication Date

12-2005

Keywords

Adolescent, Adult, Anthropometry, Biomechanical Phenomena, Bone Density, Case-Control Studies, Cerebral Palsy, Child, Child, Preschool, Female, Humans, Male, Matched-Pair Analysis, Reproducibility of Results, Tomography, X-Ray Computed

Abstract

OBJECTIVE: To use peripheral quantitative computed tomography (pQCT) to determine bone measurements in patients with cerebral palsy (CP) age 3 to 20 years and compare them with control subjects.
STUDY DESIGN: A total of 13 (5 male) patients with CP, along with 2 sex- and age-matched controls for each, were included in a mixed-model analysis with matched pairs as random effects for pQCT bone measurements of the 20% distal tibia.
RESULTS: Tibia length was similar in the CP and control groups (P = .57). Weight was marginally higher in the control group (P = .06). Cortical bone mineral content (BMC), area, thickness, polar strength-strain index (pSSI), and periosteal and endosteal circumferences were greater in the control group (P < .05 for all). Relationships between bone measurements and weight showed that cortical BMC, area, periosteal circumference, and pSSI were greater at higher weights in the control group (group-by-weight interaction, P < .05 for all). Cortical thickness was greater in the control group and was correlated with weight. Cortical volumetric bone mineral density (vBMD) was greater with higher weights in the CP group (group-by-weight interaction, P = .03).
CONCLUSIONS: Bone strength, as indicated by pSSI, is compromised in children with CP due to smaller and thinner bones, not due to lower cortical bone density.

Publication Title

The Journal of Pediatrics

Volume

147

Issue

6

First Page

791

Last Page

796

DOI of Published Version

10.1016/j.jpeds.2005.07.014

PMID

16356433

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