Development of pathological lumbar kyphosis in myelomeningocele

We analysed the cases of lumbar kyphosis in 151 (21%) of a series of 719 patients with myelomeningocele. Three different types were distinguished: paralytic, sharp-angled and congenital. In a cross-sectional and partly longitudinal study the size and magnitude of the kyphosis, the apex of the curve...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of bone and joint surgery. British volume Vol. 78; no. 6; pp. 945 - 950
Main Authors:	CARSTENS, C, KOCH, H, BROCAL, D. R. C, NIETHARD, F. U
Format:	Journal Article
Language:	English
Published:	London British Editorial Society of Bone and Joint Surgery 01-11-1996 British Editorial Society of Bone & Joint Surgery
Edition:	British volume
Subjects:	Biological and medical sciences Cross-Sectional Studies Disease Progression Female Humans Infant, Newborn Kyphosis - congenital Kyphosis - etiology Lumbar Vertebrae Male Malformations of the nervous system Medical sciences Meningomyelocele - complications Neurology Prospective Studies Regression Analysis Biometrics Human Nervous system diseases Kyphosis Deformation Lumbar spine Motor system disorder Diseases of the osteoarticular system Spine disease Congenital disease Epidemiology Incidence Angle Malformation Central nervous system disease Risk factor Complication Evolution Myelomeningocele Diagnosis Paralysis Spinal cord disease Public health
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	We analysed the cases of lumbar kyphosis in 151 (21%) of a series of 719 patients with myelomeningocele. Three different types were distinguished: paralytic, sharp-angled and congenital. In a cross-sectional and partly longitudinal study the size and magnitude of the kyphosis, the apex of the curve and the level of paralysis of each group were recorded and statistically analysed. Paralytic kyphosis (less than 90 degrees at birth) occurred in 44.4% and increased linearly during further development. Sharp-angled kyphosis (90 degrees or more at birth) was present in 38.4% and also showed a linear progression. In both types, progression seemed to depend also on the level of paralysis. Congenital kyphosis occurred in 13.9% and we could find no significant factor which correlated with progression.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0301-620X 2049-4394 2044-5377 2049-4408
DOI:	10.1302/0301-620x78b6.1272