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
Neurosurgeryjournal_title
Neurosurgeryauthors
Perry VL,Albright AL,Adelson PDkeywords:
subject
Has Abstractpub_date
2002-09-01 00:00:00pages
719-23; discussion 723-4issue
3eissn
0148-396Xissn
1524-4040journal_volume
51pub_type
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