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Because size is a critical issue in terms of the risk of rup-ture, the initial size and potential growth of an aneurysm are important factors in thedecision whether to operate on asymptomatic aneurysms. The Shrinerрs Hospital (South Carolina) Upper Extremity Test (SHUE)is currently under development and evaluation. Camperрs fascia is clearly seen as a thin plane structure moreor less parallel to the skin surface. The patientрs anemia could be that of iron deficien-cy, but in light of the normal conjunctiva and other physical findings, that is less likely. Correcting the knee flexion contracture is a difficult decisionbecause the contracture may make standing more difficult, but if individu-als can only stand and spend most of their time sitting in their wheelchairs,correction of knee flexion contracture is not likely to be successful, as theknee will just recontract. 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If the posterior laminae have not had previous surgical violation, then theroutine use of sublaminar wires through the lumbar spine is adequate andmuch simpler. These EMGs have to be correlated to the gait cycle using footswitches or kinematics. Hypotension, intracar-diac thrombus, congestive heart failure, and cardiac tamponade occur occasionally. Pre- and postintrathecal baclofen gait analysis will likelyadd significant information. Bipedal gait is extremely versatile andenergy efficient for short-distance mobility. |