[Neurogenic deformities of the foot due to congenital malformations of the lumbosacral spine. Their clinical and therapeutic characteristics]. / Le deformità neurogene del piede da malformazioni congenite del rachide lombo-sacrale. Peculiarità cliniche e terapeutiche.
Arch Putti Chir Organi Mov
; 38(2): 297-310, 1990.
Article
em It
| MEDLINE
| ID: mdl-2101238
ABSTRACT
The authors illustrate the different types of nervous disorders of the foot caused by congenital deformations of the lumbosacral spine. They classify these clinical forms according to the level of the neurological lesions, although emphasizing that more complex neurological damage may cause very atypical deformities that are difficult to classify. Today the treatment of nervous disorders of the foot caused by congenital deformations of the lumbosacral spine seems almost promising when compared to neurological and urological problems which have therapeutic priority. Possible methods of surgical correction, as well as indications that differ according to the age of the patient and the type and extent of the deformity, are discussed. These deformities of the foot evolve very quickly; treatment must be timely or reduction is difficult. Furthermore, their peculiar tendency to relapse necessitates periodic comprehensive follow-up exams and regular maintenance therapy (orthetic and physiatric). Special care must be taken before and during treatment to prevent trophic skin lesions. For this reason, solutions other than casts (external fixation, for example) may be preferable for the maintenance of the correction. The treatment of these deformities, whether conservative or surgical, should aim primarily to achieve adequate plantar support for future aided or autonomous ambulation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sacro
/
Deformidades Congênitas do Pé
/
Pé
/
Vértebras Lombares
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Infant
/
Newborn
Idioma:
It
Revista:
Arch Putti Chir Organi Mov
Ano de publicação:
1990
Tipo de documento:
Article