TOTBİD Dergisi

TOTBİD Dergisi

2014, Cilt 13, Sayı, 5     (Sayfalar: 460-464)

Hip problems in spina bifida

Ayşegül Bursalı 1, Timur Yıldırım 2

1 Ortopedi ve Travmatoloji Uzmanı, Özel Hekim
2 S. B. Metin Sabancı Baltalimanı Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.14292/totbid.dergisi.2014.53
Görüntüleme: 676
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İndirme : 980

Part of the neural tube defects, spina bifida is a preventable congenital disease, not only affecting the neural system but also the muscular and the other organ systems, causing lifetime disabilities. Depending on the level of the involvement of spine, flask paralysis with sensory deficits can be observed in lower extremities. Although the neurosegmental level being the main predictor for the ambulatory abilities of these patients; age, cognitive functions, joint contractures and instabilities, pelvic and spine disorders can also affect these. Main purpose of the follow-up for these patients is to prevent joint contracture and deformities. For that reason, stretching exercises and positioning must begin in infantile ages and families must be enlightened for the importance of rehabilitation. Muscles left without antagonists can cause deformities. Especially in patients with lumbar level involvement, overactive hip adductor and flexor muscles with weak hip abductor and extensor power can be a predisposition for the paralytic hip dislocations. The aim of the treatment for the hip disorders is to achieve muscle balance around the hip joint without causing additional joint contractures.

Anahtar Kelimeler : spina bifida; myelomeningocele; instability, hip; muscle transfer; paralitic dislocation