Mazur J M, Menelaus M B
Nemours Children's Clinic, Jacksonville, Florida 32247.
Clin Orthop Relat Res. 1991 Mar(264):54-64.
The purpose of this paper is to review recent developments in the neurologic assessment of spina bifida patients. Determination of the neurosegmental level of the lesion, recognition of spasticity and progressive paralysis, the potential for deformity, and functional expectations are described. The status of the neurologic deficit remains the most important factor in determining the myelomeningocele patient's ultimate functional abilities. Accurate neurologic assessment will assist in meeting the aims of orthopedic management, which include preventing joint contracture, correcting deformity, preventing skin sores, and obtaining the best possible locomotor function.
本文的目的是回顾脊柱裂患者神经学评估的最新进展。文中描述了确定病变的神经节段水平、识别痉挛和进行性麻痹、畸形的可能性以及功能预期。神经功能缺损的状况仍然是决定脊髓脊膜膨出患者最终功能能力的最重要因素。准确的神经学评估将有助于实现骨科治疗的目标，这些目标包括预防关节挛缩、矫正畸形、预防皮肤溃疡以及获得尽可能最佳的运动功能。
