Operative nuances of myelomeningocele closure.

Abstract:

:ALTHOUGH ADVANCES IN prenatal care and diagnosis have reduced the incidence of spina bifida, repair of neural tube defects remains one of the standard cases encountered by pediatric neurosurgeons. The operative techniques used in closure of these congenital defects have remained essentially unchanged during the past 2 decades; however, the operative nuances for closure often are based on the variability in configuration and size of the open defects, which can present a challenge. Repair of the open spinal dysraphism may require only a simple closure, but extensive dissection and reconstruction of the neural, meningeal, fascial, and epidermal tissues, including the use of specialized vascularized flaps, may be required in some cases. In this article, we briefly describe the preoperative evaluation, decision process, and standard techniques for the repair of myelomeningocele and myeloschisis.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Perry VL,Albright AL,Adelson PD

keywords:

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

719-23; discussion 723-4

issue

3

eissn

0148-396X

issn

1524-4040

journal_volume

51

pub_type

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