The unstable hip and mid-lumbar myelomeningocele
نویسندگان
چکیده
منابع مشابه
The unstable hip and mid-lumbar myelomeningocele.
We reviewed 55 patients with mid-lumbar myelomeningocele (L3 and L4) first seen over a 17-year period from 1970 to 1986 and followed up for an average of ten years. We assessed a number of factors which might affect hip stability and ability to walk, recording the natural history of clinical and radiological hip deformity. Two-thirds of the hips had become dislocated or subluxed by the end of t...
متن کاملPosterior psoas transfer and hip instability in lumbar myelomeningocele.
Seventy-two posterior psoas transfer operations performed in forty-four children with lumbar myelomeningocele were reviewed one to eight years after operation in an attempt to assess its value. Muscle charting, an objective recording of the child's walking ability, and radiographic examination of the hips were done. Hip stability was improved: 49 per cent were stable at the time of psoas transf...
متن کاملSurgical 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...
متن کاملDevelopment of pathological lumbar kyphosis in myelomeningocele.
We analysed the cases of lumbar kyphosis in 151 (21%) of a series of 719 patients with myelomeningocele. Three different types were distinguished: paralytic, sharp-angled and congenital. In a cross-sectional and partly longitudinal study the size and magnitude of the kyphosis, the apex of the curve and the level of paralysis of each group were recorded and statistically analysed. Paralytic kyph...
متن کاملThe unstable total hip replacement.
Instability after total hip arthroplasty (THA) is not a rare occurrence. Numerous factors have been associated with dislocation including surgical approach, implant design, failure to restore proper hip mechanics and soft tissue restraints, and patient variables such as early postoperative compliance, soft tissue integrity, and neurologic conditions such as poor proprioception. A thorough under...
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ژورنال
عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume
سال: 1992
ISSN: 0301-620X,2044-5377
DOI: 10.1302/0301-620x.74b1.1732245