Kuliev A M, Sadof'eva V I, Veselovskaia L Ia, Iakovleva T A
Ortop Travmatol Protez. 1989 Apr(4):8-11.
The article is devoted to revealing of the causes of complications in children with congenital dislocation of the hip. 42 patients have undergone roentgenological, electrophysiological and neurological examinations; 32 of them had complications following surgical treatment of the dislocation of the hip. In the patients with complications disturbances in the structure of the lumbosacral section of the spine and neurological changes have been revealed. Reduced excitability of the motoneurons of the spinal cord has also been observed in these patients. In 10 children with satisfactory results the deviations in the structure of the lumbosacral section of the spine were insignificant, while gross neurological changes were not revealed. The authors have arrived at the conclusion that the main causes determining the results of surgical treatment are the initial state of the neuromuscular apparatus and dysplasia of the vertebral column structures. That is why in the patients with disturbances it is necessary to carry out adequate conservative therapy directed at improvement of the metabolism of the neuromuscular structures both before the operation and during the postoperative period, e.g. 2-4 times a year according to the expression of the neurological disturbances.
本文致力于揭示先天性髋关节脱位患儿并发症的成因。42例患儿接受了X线、电生理和神经学检查；其中32例在髋关节脱位手术治疗后出现了并发症。在有并发症的患儿中，发现腰椎段脊柱结构紊乱及神经学改变。这些患儿还观察到脊髓运动神经元兴奋性降低。10例治疗效果满意的患儿，其腰椎段脊柱结构偏差不明显，未发现明显神经学改变。作者得出结论，决定手术治疗效果的主要原因是神经肌肉装置的初始状态和脊柱结构发育异常。因此，对于有功能障碍的患儿，在手术前和术后期间都有必要进行适当的保守治疗，以改善神经肌肉结构的代谢，例如根据神经功能障碍的表现每年进行2至4次治疗。
