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Hip deformity and dislocation in spina bifida.

G Canale1, M Scarsi, S Mastragostino

  • 1II Divisione di Ortopedia e Traumatologia, Istituto Scientifico Giannina Gaslini, Genova.

Italian Journal of Orthopaedics and Traumatology
|January 1, 1992
PubMed
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Spina bifida patients can prevent hip deformity with physical therapy and proper posture. Hip dislocation is more common in higher spinal lesions, but treatment should prioritize functional potential, as a dislocated hip may not worsen outcomes for non-ambulatory individuals.

Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Rehabilitation Medicine

Background:

  • Spina bifida, a congenital condition, frequently leads to musculoskeletal complications, particularly affecting the hips.
  • Hip deformity and dislocation are significant challenges in managing patients with spina bifida, impacting mobility and quality of life.

Purpose of the Study:

  • To review hip deformity and dislocation in a cohort of spina bifida patients.
  • To identify factors influencing hip complications and evaluate treatment considerations.

Main Methods:

  • Retrospective review of 118 patients with spina bifida treated between 1960 and 1988.
  • Analysis focused on the incidence and management of hip deformity and dislocation.

Main Results:

Related Experiment Videos

  • Physical therapy and correct posture were identified as crucial in preventing hip deformity.
  • Hip dislocation was more prevalent in patients with high or mid-lumbar spinal lesions, whereas subluxation was more common at lower levels.
  • The functional potential of the patient was the most critical factor in determining appropriate treatment.

Conclusions:

  • Early intervention with physical therapy and postural management can mitigate hip deformity in spina bifida.
  • Treatment strategies for hip dislocation must be individualized based on the patient's ambulatory status and overall functional capacity.
  • For non-ambulatory or severely impaired individuals, a dislocated hip may not negatively impact their condition.