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[神经肌肉疾病中的骨盆倾斜]

[Pelvic tilt in neuromuscular diseases].

作者信息

Frischhut B, Krismer M

机构信息

Universitätsklinik für Orthopädie, Innsbruck.

出版信息

Orthopade. 1990 Sep;19(5):292-9.

PMID:2234961
Abstract

On the basis of a study of the literature and observations in 53 of our own patients, we attempted to establish the cause and best treatment for neuropathic oblique pelvis. In addition, we tried to find out if certain kinds of neurologic dysfunctions coincide with certain kinds of oblique pelvis. It is highly probable that this pelvis malformation is the result of neuropathic spinal deformity. Severe oblique pelvis and scoliosis can be related to the severity of the neurologic dysfunction. Hip dislocation is not the reason for oblique pelvis. It can be assumed that hip dislocation, on the one hand, and oblique pelvis and scoliosis on the other can influence each other. To correct oblique pelvis, the neuropathic spinal deformity must be corrected. Anterior and posterior fusion, including the lumbosacral junction, give the best results.

摘要

基于对文献的研究以及对我们自己53例患者的观察,我们试图确定神经性斜骨盆的病因及最佳治疗方法。此外,我们试图弄清楚某些类型的神经功能障碍是否与某些类型的斜骨盆同时出现。这种骨盆畸形很可能是神经性脊柱畸形的结果。严重的斜骨盆和脊柱侧弯可能与神经功能障碍的严重程度有关。髋关节脱位不是斜骨盆的原因。可以认为,一方面髋关节脱位,另一方面斜骨盆和脊柱侧弯,它们之间可能相互影响。要矫正斜骨盆,必须矫正神经性脊柱畸形。包括腰骶关节在内的前后融合术效果最佳。

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