Ambulation in patients with myelomeningocele: a study of 1500 patients

Paraplegia. 1993 Jan;31(1):28-32. doi: 10.1038/sc.1993.5.

Abstract

Data from 1500 patients affected by spina bifida have been collected in a multicentre study in Spain from 1986 to 1988. This paper is concerned with a part of the data, specifically regarding the walking of patients and certain factors that influence the prognosis for ambulation. The neurological level of lesion most commonly present was lumbosacral (65.6%). Hydrocephalus was frequent (62% of the sample), and has significant implications regarding prognosis for walking. Hip dislocation (32%) and scoliosis (22.9%) were orthopaedic problems noted in our sample. Pressure sores appeared in 31.7% of the patients. The onset of walking ability has been studied; 15% of the sample started walking at an age older than 5 years. Finally, different modalities of ambulation are described according to the use of ancillary devices, and in independence in activities of daily living.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Hydrocephalus / complications
  • Male
  • Meningomyelocele / complications
  • Meningomyelocele / physiopathology*
  • Meningomyelocele / therapy
  • Obesity / therapy
  • Pressure Ulcer / complications
  • Walkers
  • Walking*