Rose G K, Sankarankutty M, Stallard J
J Bone Joint Surg Br. 1983 May;65(3):242-6. doi: 10.1302/0301-620X.65B3.6841389.
High myelomeningocele lesions do not preclude an acceptable level of functional walking provided that an integrated programme of surgical treatment and bracing is adopted. Clinical analysis of 100 patients with myelomeningocele shows that the development of the "swivel walker" and "hip guidance orthosis" has been associated with an improved level of function. Over 30 per cent of patients with thoracic lesions and 68 per cent of those with lumbar lesions achieved independent walking. For this reason the criteria used at present by paediatricians to govern the selection of infants for non-active treatment may require reconsideration.
只要采取综合的手术治疗和支具治疗方案，高位脊髓脊膜膨出损伤并不妨碍患者获得可接受的功能性步行水平。对100例脊髓脊膜膨出患者的临床分析表明，“旋转步行器”和“髋关节引导矫形器”的发展与功能水平的提高相关。超过30%的胸部损伤患者和68%的腰部损伤患者实现了独立行走。因此，儿科医生目前用于指导选择非积极治疗婴儿的标准可能需要重新考虑。
