The relationship between the level of lesion and progression in Reimer’s index of spina bifida patients

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dc.contributor.authorGunay H.
dc.contributor.authorSozbilen M.C.
dc.contributor.authorAltınisik M.
dc.contributor.authorKacmaz I.E.
dc.contributor.authorKaya Bicer E.
dc.date.accessioned2019-10-27T08:04:17Z
dc.date.available2019-10-27T08:04:17Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: We aimed to evaluate the influence of the lesion level and acetabular displasia on the progression of hip dislocation in patients with spina bifida. Material and method: Two hundred twelve hips of 106 cases with spina bifida were evaluated both clinically and radiologically. Their vertebral level of lesions, clinical examinations, radiological migration index, and acetabulum terms were noted and were evaluated in terms of their relations with the level of lesion-migration and dysplasia. Data analysis method was evaluated using SPSS 22.0 program. Results: Deficiency of acetabulum was present in 33 % of the cases with spina bifida. Dysplastic floor was found to be as equally important as the level of lesion in the progression of hip dislocation (p = 0.002). Progression and dislocation incidences were observed to be higher in the thoracic level (p = 0.008). Reimer’s progression index was seen to be a reliable way of assesment. Conclusion: The development of hip dislocation and progression are not solely connected with muscle imbalance. Encountered more frequently in these cases, acetabular dysplasia is a factor that is as important as the level of lesion in the formation of hip dislocation and progression. Hip dislocation is associated with more progression in the higher level lesions. Reimer’s index is a reliable assessment criteria. © 2016, Springer-Verlag Berlin Heidelberg.en_US
dc.identifier.doi10.1007/s00381-016-3283-zen_US
dc.identifier.endpage312en_US
dc.identifier.issn0256-7040
dc.identifier.issue2en_US
dc.identifier.pmid27787650en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage307en_US
dc.identifier.urihttps://doi.org/10.1007/s00381-016-3283-z
dc.identifier.urihttps://hdl.handle.net/11454/25493
dc.identifier.volume33en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Verlagen_US
dc.relation.ispartofChild's Nervous Systemen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAcetabular indexen_US
dc.subjectHip dislocationen_US
dc.subjectMeningomyeloceleen_US
dc.subjectReimer’s migration indexen_US
dc.subjectSpina bifidaen_US
dc.titleThe relationship between the level of lesion and progression in Reimer’s index of spina bifida patientsen_US
dc.typeArticleen_US

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