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Spina Bifida Hastalığında Görülen Ortopedik Sorunlara Genel Yaklaşım ve Tedavi Prensipleri

GENERAL APPROACH AND TREATMENT TO ORTHOPEDIC PROBLEMS IN PATIENTS WITH SPINA BIFIDA

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Spina Bifida (spina bifida aperta = spina bifida cystica = myelomeningosel, spinal dysrafism), is a special developmen¬tal disorder in any part of the spinal cord. It is the second most common neuromuscular disorder in children after cerebral palsy. The major problem is the closure defect at the midline of the primitive structure called neural placode while taking the form of a tube. As a result, bone tissue loss occurs in a region at the back of the vertebral column. Malformations occur throughout the central nervous system and also meta¬bolic disorders can be seen. Motor disfunction is the most common clinical problem that figures out as paraplegia and paraparesia. Several orthopedic problems are seen in almost all of the children with spina bifida. Vertebral disorders, lower extremity deformities and joint contractures are the most common problems. Multidisciplinary treatment should focus on solving the problems of the patient, and orthopedic treat¬ment is the most important part of it. The aim of the ortho¬pedic therapy as a part of the multidisciplinary approach is to let the child gain optimum mobility permit the level of the lesion permits and prevent complications.
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Abstract (Original Language): 
Spina bifida (spina bifida aperta = spina bifida cystica = miyelomeningosel, spinal disrafizm), omuriliği n herhangi bir bölgesinin bozuk gelişimidir. Çocukluk döneminde, nöromüsküler fonksiyon bozukluğu yaratan hastalıklar arasında serebral palsiden sonra ikinci sırada gelir. Temel sorun, nöral plakod adı verilen ilkel yapı, omuriliği oluşturma amacıyla tüp şeklini alırken orta hatta meydana gelen kapanma eksikliğidir. Bunun sonucunda, omurga kanalının arkasında bir bölgede kemik boşluğu ortaya çıkar. Spina bifi-dalı bebeklerde merkezi sinir sistemi bozuklukları yanında metabolik birçok bozukluk ta görülür. Motor disfonksiyon en sık rastlanan klinik bulgudur; parapleji veya paraparezi şeklinde kendini gösterir. Spina bifidalı çocukların hemen hepsinde çeşitli ortopedik problemler görülür. Omurga, alt ekstremite deformiteleri ve eklem kontraktürleri en sık görülenlerdir. Mültidisipliner yaklaşım çocuğun problemlerini çözmeye odaklanmalıdır; ortopedi, bu yaklaşımda önemli bir yer tutar: Ortopedik tedavinin hedefi çocuğa tutulum seviyesinin izin vereceği optimum mobiliteyi kazandırmak ve komplikasyonları engellemektir.
FULL TEXT (PDF): 
PDF icon arastrmx_116859_8_pp_125-131.pdf
  • 3
125-131
  • Turkish

REFERENCES

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