Radiological features of the hip in children with spina bifida

Abstract

Purpose. The goal of treatment was to determine radiological specificity of the hip joint in children with spina bifida.
Methods and Methods. In our clinic 137 patients with spina bifida were examined and treated in the period of 2006 – 2012 years. Instability of hip joint revealed in 123 patients (89 %).
Results. Based on the results analysis we made a conclusion that there is a dependent between neck-shaft angle (NSA) and neurological level of lesion (r=-0,7917, p kess 0,05): decreasing of neurological level of lesion are accompanied with decreasing of NSA. In 13 From 58 patients the progressive subluxation of the hip were revealed (16 hip joints) and it resulted in dislocation in 9 children (11 hip joints). In the follow up study on radiographs showed improvement (in 22,4%) and degradation (in 8,6%) of radiological points and it depended on level of neurological lesion.
Conclusion. Radiological changes in the hip joint depend on neurological level of lesion. The hip joint x-ray of the patients with spina bifida should be done 1 time a year for evaluation hip joint changes and for treatment selection.