Conservative Orthopaedic Management of Children with Myelomeningoceles
Today patients with congenital anomalies of the spine and spinal cord in the form of myelomeningoceles often live to middle age or even longer. They suffer from flaccid parapareses, which are often combined with spastic components. These children can usually be taught to walk with orthoses and other orthopaedic devices. Without these aids, ambulation is often impossible or at least strenuous. Orthoses are orthopaedic appliances that act as an external skeleton. They permit axial loading of the trunk and lower limbs by replacing missing muscular stabilisation. By achieving the ability to stand and walk, complications resulting from being bedridden or from continuous sitting in a wheel chair, e.g. decubiti, demineralization, osteoporosis as well as pathological fractures, can be avoided.
KeywordsEurope Osteoporosis Mold Pneumonia Propylene
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