J Korean Orthop Assoc.  1999 Dec;34(6):1001-1007.

Analysis of the Relationship between Deformity and Activity of Daily Living According to the Level of Neurologic Deficit in Myelodysplasia - Part Two: Lipomeningocele -

• Chung CY
• Lee JH
• Choi IH
• Cho TJ
• Kim SR
• Hwang JK

Abstract

PURPOSE
To clarify the relationship between the level of neurologic deficit and deformity of the lower extremity and also the ambulatory status.
MATERIALS AND METHODS
We performed retrograde analysis on 79 patients older than 30months with lipomeningocele. All of the patients were classified according to the level of neurologic functional motor deficit. There were 52 males and 27 females patients. Average age was 6 years and 8 months.
RESULTS
There was only one patient in the upper lumbar (L1-L2) motor level deficit. He was a non ambulator. Among the 26 with lower lumbar (L3-L5) deficit, 6 were household ambulators, 20 were community ambulators; 2 had hip deformities and 22 had foot deformities. Among the 48 patients with sacral (S1-S3) deficit, all were community ambulators; 3 had hip deformities and 27 had foot deformities. In 4 patients who showed normal motor function, all were community ambulators without any deformity.
CONCLUSION
In lipomeningocele, patients who had a functional motor deficit above L4 level showed poor ambulatory status. However, those below L4 level showed good ambulation, and in cases with the L4-5 motor level deficit, we were able to improve the ambulatory status after correction of the deformities of the lower extremity.

Keyword

Myelodysplasia; Lipomeningocele; Functional motor-level; Ambulatory status

MeSH Terms

Congenital Abnormalities*
Family Characteristics
Female
Foot Deformities
Hip
Humans
Lower Extremity
Male
Neurologic Manifestations*
Walking