Management of Lumbosacral Myelomeningocele
نویسندگان
چکیده
Peter M. DeJong, BS,a Nicholas S. Adams, MD,a,b Robert J. Mann, MD,a,b,c John W. Polley, MD,a,b,c and John A. Girotto, MD, MMAa,b,c aMichigan State University College of Human Medicine, Grand Rapids, Mich; bPlastic and Reconstructive Surgery Residency, Grand Rapids Medical Education Partners, Grand Rapids, Mich; and cPediatric Plastic and Craniofacial Surgery, Helen DeVos Children’s Hospital, Grand Rapids, Mich
منابع مشابه
Evaluation and Management of Lumbosacral Myelomeningoceles in Children.
OBJECTIVE Myelomeningoceles are the common form of open neural tube defects that are usually associated with neurological deficits. Many techniques of repair and methods of prevention have been proposed with respect to the size of defect and the neurological condition of patient. The aim of this study was to report our experience on the management of lumbosacral myelomeningoceles in children. ...
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Cystathionine beta synthase gene (CβS) catalyzes the condensation of homocysteine with serine, forming cystathionine by the transsulfuration pathway. Disruption of CβS enzyme activity due to defective folic acid metabolism increases the risk factor for neural tube defects. We evaluated the CβS gene mutation in 25 children with neural tube defects (NTDs), including lumbosacral and thoraci...
متن کاملRepair of wide myelomeningocele defects with the bilateral fasciocutaneous flap method.
OBJECTIVE Five large myelomeningocele defects repaired by bilateral fasciocutaneous flaps are presented in this article. PATIENTS AND METHODS After the neurological repair, bilateral fasciocutaneous flaps were raised, transposed over the midline, and sutured to each other. RESULTS All operations lasted shorter than one hour and no major complication was noted in the follow-up. Three of the ...
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The development of self-management skills by adolescents with myelomeningocele is an ongoing process. Previous studies lack consensus about what data can be accurately obtained from adolescents. This cross-sectional study using a convenience sample of 66 adolescent-parent dyads evaluated whether adolescents with myelomeningocele and their parents are interchangeable reporters of data. Adolescen...
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Background: Children with myelomeningocele (MMC) develop a wide variety of hip deformities such as muscle imbalance, contracture, subluxation, and dislocation. Various methods and indications have been introduced for treatment of muscle imbalances and other hip problems in patients with MMC but there is no study or meta-analysis to compare the results and complications. This review aims to fi...
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