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.
KeywordsPathological Fracture Rock Sole Shoe Insert Joint Lock External Skeleton
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- De Souza LJ, Carroll N (1976) Ambulation of the braced myelomeningocele patient. J Bone Joint Surg 58-A:1112Google Scholar
- Drennan JC (1976) Orthotic management of the myelomeningocele spine. Dev Med Child Neurol (Suppl) 37:97Google Scholar
- Hoffer M, Feiwell M, Perry R, Perry J, Bonnett Ch (1973) Functional ambulation in patients with myelomeningocele. J Bone Joint Surg 55-A:137Google Scholar
- Lindseth RE, Glancy J (1974) Polypropylene lower-extremity braces for paraplaegia due to myelomeningocele. J Bone Joint Surg 56-A:556Google Scholar
- Murdoch G (1976) The advance in orthotics. E. Arnold, LondonGoogle Scholar
- Parsch KP, Schulitz KP (1972) Das Spina-bifida-Kind. G. Thieme, StuttgartGoogle Scholar
- Ruepp R (1971) Die orthetische Versorgung von Kindern bei Lähmungen der Bein-und Hüft-muskulatur. APO Rev. 10:2Google Scholar
- Tachdjian MO (1972) Paediatric orthopedics. W.B. Saunders, PhiladelphiaGoogle Scholar