Spinal Dysraphism A Study of Patients over the Age of 10 Years
作者:
TOMOJIRO YAMANE,
AKIRA SHINOTO,
MAKOTO KAMEGAYA,
YOSHIYUKI SHINADA,
期刊:
Spine
(OVID Available online 1991)
卷期:
Volume 16,
issue 11
页码: 1295-1297
ISSN:0362-2436
年代: 1991
出版商: OVID
关键词: lipoma;tethered cord;spinal dysraphism;neurologic deficit;foot deformity;low-back pain
数据来源: OVID
摘要:
Thirty patients over the age of 10 years, exhibiting cutaneous manifestations on the back suspected to be due to spinal dysraphism, and neurologic deficits, were studied to analyze neurologic appearance. Neurologic deficits appeared by age 5 in 26 patients. No patient complained of low-back pain or sciatica. Paralytic deformities of the lower extremities were divided into four grades for evaluation: A = no deformity, with only urinary disturbance (four cases); B = toe-limited deformity (two cases); C = toe and foot-limited deformity (six cases); D = toe, foot, ankle, and lower limb deformity (18 cases). Patients with slight neurologic disturbance, either Grade A or without urinary disturbance, were seen among the patients who had undergone a release operation by age 2, although neurologic appearance in patients in severe grades was not related to the age at release operation. Also, the release operation was thought to be effective in preventing low-back pain or sciatica.
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