Effect of Custom-Made Foot Orthosis for Scoliosis with Pelvic Malalignment in a Patient with Myelomeningocele of Partial Neurological Deficit: A Case Report
Unusual setting of medical care
Hee Kyung Cho
Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea
Am J Case Rep 2018; 19:1222-1226
The treatment of patients with spinal deformities, such as developmental scoliosis in children with myelomeningocele, poses a formidable challenge. We observed the effects of a custom-made foot orthosis in a case of mild scoliosis with pelvic malalignment, in a patient with myelomeningocele.
CASE REPORT: The patient was a 5-year-old female who was diagnosed with myelomeningocele and who had a partial neurological deficit. At the time of the first visit, the patient showed moderate pelvic rotation to the clockwise side during gait and severe left anterior pelvic tilting during the drooping upper body. Radiographic images revealed mild lumbar scoliosis and severe pelvic asymmetry. After applying a custom-made foot orthosis for 8 months, the patient showed moderate improvement of pelvic rotation and tilting. Clinical biomechanical changes were well correlated with radiographic images.
CONCLUSIONS: These results highlight that custom-made foot orthosis controlling 3 motion planes of the pelvis had a corrective effect on mild lumbar scoliosis in a patient with myelomeningocele.
Keywords: Bone Malalignment, foot orthoses, Meningomyelocele, Scoliosis