Sherk H H, Ames M D
Clin Orthop Relat Res. 1978 Nov-Dec(137):181-6.
Paralytic hip dislocations in 37 children with myelomeningoceles have been treated by open reduction, iliopsoas tendon transfer and various other procedures about the hip. At follow-up, less than half the patients were community ambulators and had maintained their reductions. The level of the spinal lesion, alignment of the lower extremities in relation to the trunk and pelvis and the presence of scoliosis including pelvic obliquity were more important factors in determining the patient's degree of function than the status of the hip reduction.
37例患有脊髓脊膜膨出的儿童麻痹性髋关节脱位已通过切开复位、髂腰肌肌腱转移及其他各种髋关节相关手术进行治疗。随访时，不到一半的患者能够在社区独立行走且维持了复位状态。脊髓病变的水平、下肢相对于躯干和骨盆的对线情况以及包括骨盆倾斜在内的脊柱侧弯的存在，比髋关节复位状态更能决定患者的功能程度。
