Swank M, Dias L
Clinical Orthopaedic Surgery, Northwestern University Medical School, Chicago, IL.
Dev Med Child Neurol. 1992 Dec;34(12):1047-52. doi: 10.1111/j.1469-8749.1992.tb11416.x.
Two hundred and six consecutive children with spina bifida who have been treated since the first day of life were analysed in terms of walking ability, motor level, orthopaedic deformities, operative procedures and balance deficit. The authors found that: (1) ambulation was quite delayed compared with the normal population; (2) sitting balance was a useful predictor of future walking; (3) almost all patients with quadriceps function were able to walk and were community ambulators; and (4) a significant number of congenital and acquired orthopaedic deformities required surgical intervention.
对自出生第一天起就接受治疗的206名连续性脊柱裂患儿进行了行走能力、运动水平、骨科畸形、手术程序和平衡缺陷方面的分析。作者发现：（1）与正常人群相比，行走明显延迟；（2）坐位平衡是未来行走的有用预测指标；（3）几乎所有具有股四头肌功能的患者都能够行走且可在社区中独立行走；（4）大量先天性和后天性骨科畸形需要手术干预。
