Stillwell A, Menelaus M B
J Bone Joint Surg Br. 1984 Nov;66(5):656-9. doi: 10.1302/0301-620X.66B5.6501357.
Of 47 patients with spina bifida who had had transplantation of the iliopsoas more than 10 years previously, 32 (68%) were community walkers, 3 were household walkers and 12 were non-walkers. Comparison with other published reports showed that, at the very least, the patients reviewed had not had their walking ability jeopardized by the inevitable loss of hip flexor power. Furthermore, all but three of the community walkers were able to climb and descend stairs. There was a high proportion of non-walkers in those patients whose operation had been performed in the first year of life and such early surgery is no longer recommended. We also found that the pre-operative assessment of muscle power had, in some patients, been inaccurate. Finally, we found that, at review, the power of the transferred muscles was poor, suggesting that transplantation is beneficial because it achieves permanent and major reduction in hip flexor power; this usually prevents recurrent hip flexion deformity and dislocation.
在47例10多年前接受过髂腰肌移植的脊柱裂患者中，32例（68%）可在社区行走，3例为室内行走者，12例不能行走。与其他已发表的报告相比表明，至少，所评估的患者并未因髋屈肌力量不可避免的丧失而使行走能力受到损害。此外，除3例社区行走者外，其余均能上下楼梯。在出生后第一年接受手术的患者中，不能行走者的比例较高，因此不再推荐这种早期手术。我们还发现，在一些患者中，术前对肌肉力量的评估并不准确。最后，我们发现，在复查时，转移肌肉的力量较差，这表明移植是有益的，因为它能使髋屈肌力量永久性大幅降低；这通常可防止复发性髋屈曲畸形和脱位。
