Greene W B, Dias L S, Lindseth R E, Torch M A
Division of Orthopaedic Surgery, University of North Carolina School of Medicine, Chapel Hill 27599-7055.
J Bone Joint Surg Am. 1991 Apr;73(4):551-60.
The records of all thirteen patients for whom a diagnosis of cloacal exstrophy had been recorded in our hospitals were analyzed for evidence of musculoskeletal problems. All thirteen patients had spina bifida, four had congenital scoliosis, two had congenital kyphosis, and three had non-congenital scoliosis. All had a lipomeningocele, and eleven had paralysis of the lower extremities. Hydrocephalus and its associated problems were not found, but tethered-cord syndrome was diagnosed in eleven patients. Persistent diastasis of the symphysis pubis was found in all patients. Abduction and external rotation of the hips were more than normal. Mild dysplasia was seen in six of the twenty-six hips. Deformities of the foot were common, and twelve feet had been operated on for correction. Recurrent equinovarus deformity of the foot was associated with tethered-cord syndrome in two patients.
对我院记录有泄殖腔外翻诊断的所有13例患者的病历进行分析，以寻找肌肉骨骼问题的证据。所有13例患者均患有脊柱裂，4例患有先天性脊柱侧凸，2例患有先天性脊柱后凸，3例患有非先天性脊柱侧凸。所有患者均有脂肪瘤型脊柱裂，11例患者下肢瘫痪。未发现脑积水及其相关问题，但11例患者被诊断为脊髓栓系综合征。所有患者均发现耻骨联合持续分离。髋关节外展和外旋超过正常。26个髋关节中有6个出现轻度发育异常。足部畸形很常见，12只脚曾接受手术矫正。2例患者足部复发性马蹄内翻畸形与脊髓栓系综合征有关。
