Carstens C, Rohweder J, Berghof R
Abteilung für Orthopädie im Kindesalter, Stifung Orthopädische Universitätsklinik Heidelberg.
Z Orthop Ihre Grenzgeb. 1995 May-Jun;133(3):214-21. doi: 10.1055/s-2008-1039440.
In 106 patients with myelomeningocele, which were fitted with orthotic devices, we analyzed the influence of level of neurologic deficit, scoliosis and contractures of the lower extremities on different walking parameters, e.g. orthotic wearing time, duration of walking and velocity, step length and mobility status. The most important factor is the level of neurologic deficit. From a functional point of view a bilateral hip dislocation can be neglected. Whereas impairment of walking ability is strongly correlated with scoliosis of more than 50 degrees and unilateral hip dislocation; therefore both conditions should be treated operatively.
在106例装有矫形装置的脊髓脊膜膨出患者中，我们分析了神经功能缺损程度、脊柱侧弯和下肢挛缩对不同步行参数的影响，如矫形器佩戴时间、步行持续时间和速度、步长及活动状态。最重要的因素是神经功能缺损程度。从功能角度来看，双侧髋关节脱位可不予考虑。而步行能力受损与超过50度的脊柱侧弯和单侧髋关节脱位密切相关；因此这两种情况均应进行手术治疗。
