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Erschienen in: Acta Neurochirurgica 2/2021

27.10.2020 | Letter to the Editor (by Invitation) - Pediatric Neurosurgery

Response to letter to the editor entitled “Letter: Predictors of postoperative complications after selective dorsal rhizotomy” by M Agrawal et al. regarding “Predictors of postoperative complications after selective dorsal rhizotomy” by J Wach et al., Acta Neurochirurgica (Wien), 20 Jul 2020

verfasst von: Johannes Wach, Ömer Can Yildiz, Sevgi Sarikaya-Seiwert, Hartmut Vatter, Hannes Haberl

Erschienen in: Acta Neurochirurgica | Ausgabe 2/2021

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Excerpt

We thank Agrawal et al. [1] for their interest in our recent retrospective study investigating postoperative complications after selective dorsal rhizotomy (SDR) [7]. In the present letter to the editor, Agrawal et al. [1] refer to the already discussed limitations of the study. We would like to summarize again the key arguments we discussed, as follows:
1.
Diagnostic performance of body mass index to identify excess body fat in children with cerebral palsy is limited [3]. Various medical federations report different methods and cutoff values. However, we have used the established LMS method, which is recommended by the WHO and CDC [2].
 
2.
Cutoff values of thrombocytes and hemoglobin were determined using a receiver operating characteristic curve, which was mentioned in the section material and methods [7]. We do agree with the authors that the results regarding thrombocytopenia as a risk factor for SSI have to be interpreted with caution due to the low number of events. We discussed the limitation of our findings by the low number of events preventing a multivariate analysis.
 
Literatur
1.
Zurück zum Zitat Agrawal M, Samala R, Doddamani RS, Chandra S (2020) Letter: Predictors of postoperative complications after selective dorsal rhizotomy. Acta Neurochir (in press) Agrawal M, Samala R, Doddamani RS, Chandra S (2020) Letter: Predictors of postoperative complications after selective dorsal rhizotomy. Acta Neurochir (in press)
6.
Zurück zum Zitat Summers J, Coker B, Eddy S, Elstad M, Bunce C, Bourmpaki E, Pennington M, Aquilina K, Cawker S, Edwards R, Goodden J, Hawes S, McCune K, Pettorini B, Smith J, Sneade C, Vloeberghs M, Patrick H, Powell H, Verity C, Peacock JL, Selective Dorsal Rhizotomy Steering Committee (2019) Selective dorsal rhizotomy in ambulant children with cerebral palsy: an observational cohort study. Lancet Child Adolesc Health 3:455–462. https://doi.org/10.1016/S2352-4642(19)30119-1CrossRefPubMedPubMedCentral Summers J, Coker B, Eddy S, Elstad M, Bunce C, Bourmpaki E, Pennington M, Aquilina K, Cawker S, Edwards R, Goodden J, Hawes S, McCune K, Pettorini B, Smith J, Sneade C, Vloeberghs M, Patrick H, Powell H, Verity C, Peacock JL, Selective Dorsal Rhizotomy Steering Committee (2019) Selective dorsal rhizotomy in ambulant children with cerebral palsy: an observational cohort study. Lancet Child Adolesc Health 3:455–462. https://​doi.​org/​10.​1016/​S2352-4642(19)30119-1CrossRefPubMedPubMedCentral
Metadaten
Titel
Response to letter to the editor entitled “Letter: Predictors of postoperative complications after selective dorsal rhizotomy” by M Agrawal et al. regarding “Predictors of postoperative complications after selective dorsal rhizotomy” by J Wach et al., Acta Neurochirurgica (Wien), 20 Jul 2020
verfasst von
Johannes Wach
Ömer Can Yildiz
Sevgi Sarikaya-Seiwert
Hartmut Vatter
Hannes Haberl
Publikationsdatum
27.10.2020
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 2/2021
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-020-04630-0

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