Biography
Biography: Mohamed El-Sayed
Abstract
Background: Evaluation and treatment of the musculoskeletal problems in MMC patients can be quite difficult due to the loss of sensation affecting some or all parts of the lower extremities, associated congenital anomalies of the spine and lower extremities, and muscle imbalance that affects skeletal development over the entire period of growth. Furthermore, some patients who have MMC, have a static encephalopathy that impairs coordination and results in the loss of strength of the lower and upper extremities. In addition, progressive neurological deterioration may occur because of tethered cord syndrome or syringomyelia. Reduction of a dislocated hip in MMC patients was always controversial. Patients & Methods: In this study we present the reduction of 12 dislocated hips in 6 lower lumbar MMC patients, whom we followed for a minimum of 2 years,( 2-7 years). Results: All the patients achieved assisted ambulation within the follow-up period. Significance: MMC patients with lower lumbar lesions (quadriceps function ≥ grade3), are potential community ambulators and this warrants hip reduction and reconstruction in dislocated cases.