Spinal problems in myelomeningocele-orthotic principles

Spinal problems in myelomeningocele-orthotic principles.

Spinal curvatures associated with myelo­ meningocele represent complex problems which, if no t recognized early, determine the future ambula tory status of the patient. In recognizing the importance of functional spinal alignment, it is manda tory to supervise closely a child from infancy and to institute early protective care (Bunch et al., 1972). Spinal problems are not necessarily evident a ...

A clinical review of the orthotic treatment of myelomeningocele patients.

High myelomeningocele lesions do not preclude an acceptable level of functional walking provided that an integrated programme of surgical treatment and bracing is adopted. Clinical analysis of 100 patients with myelomeningocele shows that the development of the "swivel walker" and "hip guidance orthosis" has been associated with an improved level of function. Over 30 per cent of patients with t...

Surgical Management of Hip Problems in Myelomeningocele: A Review Article

  Background: Children with myelomeningocele (MMC) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to fi...

Direct spinal anaesthesia for repair of myelomeningocele.

In 12 patients who were studied after therapy was stopped the incidence of sex chromatin was found to return to the normal female range. In six patients in whom the smears were studied at intervals of four days for 32 days during therapy the sex-chromatin incidence showed a rapid initial fall noticed within the first four days, and then minor fluctuations without further fall during the continu...

Spinal osteotomy for severe kyphosis in children with myelomeningocele.