Charney E B, Melchionni J B, Smith D R
Children's Seashore House, Children's Hospital of Philadelphia, PA 19104.
J Pediatr Orthop. 1991 Sep-Oct;11(5):579-82.
It has frequently been noted that high-level paralysis precludes community ambulation for children with myelomeningocele. Of the 87 children in our population with high-level paralysis, however, 45 (52%) did achieve community ambulation by 5 years of age, while 42 (48%) did not. There was no significant difference between these two groups by sex, shunt status, scoliosis, or hip surgery prior to 5 years of age. Among the community ambulating group, there were significantly (p less than 0.001) more children who were not retarded, had received physical therapy for walking, and had compliant parents. We concluded, therefore, that community ambulation is a realistic goal for many children with myelomeningocele and high-level paralysis.
人们经常注意到，高位瘫痪使脊髓脊膜膨出患儿无法在社区中行走。然而，在我们研究的87例高位瘫痪患儿中，45例（52%）在5岁时实现了在社区中行走，而42例（48%）未能实现。这两组在性别、分流状况、脊柱侧弯或5岁前是否接受髋关节手术方面没有显著差异。在能够在社区中行走的患儿组中，智力正常、接受过步行物理治疗且家长配合的患儿明显更多（p<0.001）。因此，我们得出结论，对于许多患有脊髓脊膜膨出和高位瘫痪的患儿来说，在社区中行走是一个现实的目标。
