Scott A C, Chambers C, Cain T E
Shriners Hospital for Crippled Children, Houston Unit, Texas, USA.
J Pediatr Orthop. 1996 Nov-Dec;16(6):741-6. doi: 10.1097/00004694-199611000-00008.
Thirty-three ambulatory patients with spastic cerebral palsy underwent evaluation and gait analysis an average of 9.6 years after bilateral posterior adductor transfers to the ischium. All patients showed functional improvement postoperatively, which was maintained at long-term follow-up in 94%. Gait analysis, however, documented pelvic obliquity in 85% of this group of patients. Associated with pelvic obliquity was a 36% incidence of unilateral hip subluxation. These complications of posterior adductor transfers have been difficult to treat and have resulted in the abandonment of this procedure at our institution.
33例痉挛型脑瘫门诊患者在双侧内收肌后移至坐骨平均9.6年后接受了评估和步态分析。所有患者术后均显示功能改善，94%的患者在长期随访中维持了这一改善。然而，步态分析显示该组患者中有85%存在骨盆倾斜。与骨盆倾斜相关的是，单侧髋关节半脱位的发生率为36%。内收肌后移的这些并发症难以治疗，导致我们机构放弃了这一手术。
