Hip Instability in Spinal Palsy Children.

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We evaluated a group of children with spinal palsy to determine the incidence and sequellae of hip inatability.Eight children with spinal palsy occuring before the age of thirteen years were followed for a mean of 10.5 years (range 2-17 years). One child had spastic cervical spinal palsy and the others had flaccid thoracic spinal palsy. All patients had complete palsy and were non-ambulatory.Radiographic determination of instability was made using Reimers' migration percentage.Five of these pstients (63%) developed subluxation in unilateral hips and they were all flaccid. Pelvic obliquity, scoliosis and hip contracture were present in all patients with subluxated hips.At final follow-up, none of the patients with subluxated hips, who were all nonambulatory, had physical problems related to the hip disesse.
西日本整形・災害外科学会の論文