Phillips D P, Lindseth R E
New York Medical College, St. Vincent's Hospital, NY 10011.
J Pediatr Orthop. 1992 Nov-Dec;12(6):712-7. doi: 10.1097/01241398-199211000-00002.
Forty-seven patients with myelomeningocele underwent triple (adductor, external oblique, and tensor fascia lata) transfers or double (adductor and external oblique) transfers and were retrospectively reviewed. Six patients lost significant neurologic function during the 4-years 6-month follow-up. Thirty-seven of the remaining 41 patients had improved gait pattern. Seventeen required less bracing after the muscle transfers. The need for assistive devices decreased in 21 patients. Twenty-seven were able to ambulate independently postoperatively as compared with seven preoperatively. The muscle transfers are indicated in midlumbar and lowlumbar spina bifida patients to improve hip stability, control, balance, and gait pattern.
47例患有脊髓脊膜膨出的患者接受了三联（内收肌、腹外斜肌和阔筋膜张肌）转移术或双联（内收肌和腹外斜肌）转移术，并进行了回顾性分析。6例患者在4年6个月的随访期间出现了明显的神经功能丧失。其余41例患者中有37例步态模式得到改善。17例患者在肌肉转移术后对支具的需求减少。21例患者对辅助装置的需求减少。27例患者术后能够独立行走，而术前只有7例。对于中腰段和低腰段脊柱裂患者，肌肉转移术可改善髋关节稳定性、控制能力、平衡能力和步态模式。
