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脊髓脊膜膨出的骨科治疗

Orthopedic management in myelomeningocele.

作者信息

Karol L A

机构信息

Department of Orthopaedic Surgery, University of Texas-Southwestern, Texas Scottish Rite Hospital, Dallas, USA.

出版信息

Neurosurg Clin N Am. 1995 Apr;6(2):259-68.

PMID:7620352
Abstract

Paralysis, muscle imbalance, and spasticity resulting from myelomeningocele produce orthopedic deformities that often require surgical correction. Spinal deformities in myelomeningocele are nearly universal, and are difficult to treat because of the absence of posterior elements. Hip dislocations frequently occur, but rarely require treatment. Severe foot deformities are seen in up to 80% of children.

摘要

脊髓脊膜膨出导致的瘫痪、肌肉失衡和痉挛会产生骨科畸形,这些畸形往往需要手术矫正。脊髓脊膜膨出患者的脊柱畸形几乎普遍存在,且由于缺乏后部结构而难以治疗。髋关节脱位经常发生,但很少需要治疗。高达80%的儿童会出现严重的足部畸形。

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