De Souza L J, Carroll N
J Bone Joint Surg Am. 1976 Dec;58(8):1112-8.
Sixty-eight patients born with a myelomeningocele were studied in the second and third decades of their lives. All of them had had some orthopaedic surgery, an orthotic program, and other specialized medical and paramedical services. In the group with sacral-level lesions, half were community ambulators; in the group with lower lumbar lesions, a third; in the group with upper lumbar lesions, a tenth; and in the group with thoracic-level lesions, none. The most important factors that determine the ambulatory status of a child with myelomeningocele, besides the level of the lesion, are the motor power within a given neurosegmental level and the extent and degree of orthopaedic deformities.
对68例出生时患有脊髓脊膜膨出的患者在其生命的第二个和第三个十年进行了研究。他们所有人都接受过一些矫形手术、矫形器治疗方案以及其他专业医疗和辅助医疗服务。在骶部水平病变组中，一半患者可在社区行走；在下腰部病变组中，三分之一患者可在社区行走；在上腰部病变组中，十分之一患者可在社区行走；而在胸段水平病变组中，无人可在社区行走。除病变水平外，决定脊髓脊膜膨出患儿行走状态的最重要因素是特定神经节段水平内的运动能力以及矫形畸形的程度和范围。
