Orthopedic aspects of myelodysplasia in children
作者:
Mark Locke,
John Sarwark,
期刊:
Current Opinion in Pediatrics
(OVID Available online 1996)
卷期:
Volume 8,
issue 1
页码: 65-67
ISSN:1040-8703
年代: 1996
出版商: OVID
数据来源: OVID
摘要:
A review of new developments in spina bifida shows that many cases are preventable by administration of periconceptual folic acid, reducing the relative risk by up to 86%. Currently, however, 50% of women of reproductive age have no folic acid in their usual diet. The Centers for Disease Control has recommended folic acid at 0.4 mg/d for all women anticipating pregnancy. The long-term outcomes of sacral level patients show a surprising decline in adult ambulatory status. Adult ambulatory status in spina bifida is significantly predictive (89% accurate) by two variables: motor level and sitting balance. Studies regarding hip dislocation, foot deformities in thoracic level children, the prevalence of spondylolisthesis, and surgical treatment of kyphosis are also reviewed.
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