Cuxart A, Iborra J, Meléndez M, Pagès E
Rehabilitation Medicine Department, Hospital de Traumatologia y Rehabilitacion, Barcelona, Spain.
Paraplegia. 1992 Nov;30(11):791-4. doi: 10.1038/sc.1992.152.
Epiphysiolysis from a series of 253 patients under regular control in the Spina Bifida Unit at our hospital has been analysed from 1967 to the present time. From that total there have been 18 physeal fractures in 9 of the myelomeningocele patients. The clinical characteristics, diagnostic difficulties and therapeutic criteria for this type of lesion are considered, and we suggest the need to use suitable orthoses whenever the patient is able to walk, and to temporarily increase the level of orthotisation in patients if the physis of the knee is affected.
对我院脊柱裂病房1967年至今定期接受检查的253例患者的骨骺溶解情况进行了分析。在这些患者中，9例脊髓脊膜膨出患者发生了18例骺板骨折。文中探讨了这类损伤的临床特征、诊断难点及治疗标准，我们建议，只要患者能够行走，就应使用合适的矫形器；若膝关节的生长板受到影响，则应暂时提高患者的矫形水平。
