PMID: 7334120Jan 1, 1981Paper

Hip surgery in the lumbar level myelomeningocele patient

Journal of Pediatric Orthopedics
J Bazih, R H Gross

Abstract

The ambulatory status of 74 patients with myelomeningocele, 4 years of age or older (average, 10 years, 5 months) was examined to assess the effectiveness of surgery about the hip in improving function. Seventeen of these 74 patients, all with lumbar levels of function, underwent surgery for the purpose of reducing a subluxation or a dislocation. Reduction of a dislocated hip did not improve function, and the failure rate was high (45% redislocation). There was little difference between the nonoperated and operated groups regarding ambulatory capabilities or the percentage of ambulators with a dislocated hip. The most severely impaired patients were those who had complications following hip surgery. The level of the neural deficit was the most important factor in determining ambulatory function.

Citations

Jun 20, 1985·The New England Journal of Medicine·R H Gross
Apr 26, 2015·Clinical Orthopaedics and Related Research·Timur YildirimAysegul Bursali
May 2, 2003·Journal of Pediatric Orthopedics·Ana Paula T GabrieliRobert Novak
Sep 30, 2010·Clinical Orthopaedics and Related Research·James G Wright
Apr 7, 2005·Journal of Pediatric Orthopedics. Part B·Francisco J Lorente Moltó, Ignacio Martínez Garrido
Jun 1, 1983·Developmental Medicine and Child Neurology·W J Sharrard
Mar 1, 1992·Developmental Medicine and Child Neurology·J M KeggiC Walton
May 1, 1996·The Journal of Bone and Joint Surgery. American Volume·L L TosiD W McKay

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