Abstract
Objectives:
Osteogenesis imperfecta (OI) is the most commonly inherited bone disease, with a wide variety of clinical features, most commonly recurrent fractures and bone deformities. The management is multidisciplinary, and surgical management usually aims to correct deformities or prevent further fractures.
Methods:
This study aimed to assess the outcomes of Omani OI patients who underwent a modified Sofield procedure. This was a descriptive retrospective study. All patients who underwent a modified Sofield procedure from 2013 to 2019 in one center in Oman were included in the study. Demographic data were collected, as well as surgical details. The level of mobility pre operatively and postoperatively was also included in the study. A survey to assess the quality of life was sent to all patients to assess the impact of the procedure on their lives.
Results:
The procedure was done on a total of 37 bones, 66.7% of them were male. The complication rate was found to be 13.5%. The mean quality-of-life score was found to be 82.3 after the surgeries compared to 77.4 before the procedure (P = 0.097).
Conclusion:
We report a lower complication rate in our cohort of OI patients compared to what has been observed in other studies. The level of mobility improved in one-third of the patients, and in most of the remaining two-thirds, the level that was achieved was maintained. Interestingly, although patients reported reduced fractures postoperatively, they still feared getting new fractures, which restricted their daily activities.