Neuropathic foot ulceration in patients with myelodysplasia.
To determine if a significant relationship existed between type of operation and eventual development of pedal skin breakdown in a spina bifida patient population, 72 feet in 36 ambulatory patients with low lumbar or sacral myelomeningocele were followed for an average of 14 years 5 months. Using a clinical classification for foot suppleness and position, we determined that foot rigidity, nonplantigrade position, and performance of surgical arthrodesis were clinical indicators that had a strong statistical relationship with eventual development of neuropathic skin changes.
Maynard
M J
MJ
Hospital for Special Surgery, New York, New York.
Weiner
L S
LS
Burke
S W
SW
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000209:etiology* / Q000601:surgery; D016523:Foot Ulcer / Q000209:etiology*; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000150:complications*; D012189:Retrospective Studies