The Management Duchenne Muscular Dystrophy : Establishing an early Straight or Hyperextended Spine

  • MINATO Jun
    Fukushima Institute for Children's Orthopaedic Disease
  • MINATO Jiro
    Fukushima Institute for Children's Orthopaedic Disease
  • MINATO Masami
    Fukushima Institute for Children's Orthopaedic Disease

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Other Title
  • デュシェンヌ型筋ジストロフィーの脊柱管理―脊柱の伸展位誘導の試み―
  • デュシェンヌガタ キンジストロフィー ノ セキチュウ カンリ セキチュウ ノ シンテンイ ユウドウ ノ ココロミ
  • —脊柱の伸展位誘導の試み—

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Abstract

Since 1989, we have been actively involved in the prevention of progressive spinal deformity in Duchenne Muscular Dystrophy. We have targeted our treatment specifically towards establishing an early straight or hyperextended spine, which was found to be the most stable condition in D.A. Gibson's study. From 1989 to 2005, nine patients with Duchenne Muscular Dystrophy have successfully gone through our target-treatment program. Nine patients from this group, ranging in age from 20 to 30 years, and seven other patients, who had never gone through the target-treatment program, were selected for the comparison study. The incidence of straight or hyperextended spines and the Cobb method were used to determine spinal deformity. In terms of overall success rate in establishing of a straight or hyperextended spine, the first group was 88.9 % and the second group, 28.6 %. Especially, a comparison of the lateral curvature was quite remarkable, in which the first group showed 17.4±17.2 degrees on average, and the second group, 42.0±24.1 on average. This treatment is very effective for the management of spinal deformity in Duchenne Muscular Dystrophy.

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