We report five examples of physeal widening in four children with myelomeningocele. In all cases there was rapid clinical resolution with the use of the patients' normal orthoses and minor limitation of activity, and there was no evidence of early epiphyseal closure or growth disturbance. We suggest that recognition of the pathological process before fracture occurred may explain the rapid retu...

We report the first family with Waardenburg syndrome type 1 and myelomeningocele in which more than one subject was affected with both disorders. The possible association is discussed. Prenatal screening for myelomeningocele is suggested for a family with Waardenburg syndrome type 1.

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 find...

OBJECTIVES We evaluated whether the phenotypic pattern of higher verbal than nonverbal IQ in children with spina bifida meningomyelocele (SBM) is consistent across subgroups differing in ethnicity and SES. We also explored the relation of cognitive and academic performance. METHODS Non-Hispanic White (n = 153) and Hispanic (n = 80) children with SBM received the Stanford Binet Test of Intelli...

Sharrard, Zachary, Lorber and Bruce (1963) in a study offorty children with spina bifida cystica, eighteen of whom survived three months, concluded that “operative closure of myelomeningocele should be regarded as a surgical emergency”. They believed that it was ethically unjustifiable to continue their controlled trial of treatment. Following this paper there was a wide acceptance of early clo...

The grip strengths of 108 children aged 6 to 19 years with myelomeningocele were measured and compared with previously published results for children without disability. The grip strengths of the 59 female subjects with myelomeningocele were significantly lower than those of the population without disability in all age groups except for the 12 to 15 years range. The 49 male subjects exhibited s...

Children with flail feet who have control of their hips and knees are able to walk but are unable to stand still and find it difficult to walk slowly. These problems have been overcome in fifty-three children with flail feet due to myelomeningocele by fitting them with below-knee orthoses which provide maximum stability and yet allow normal walking. The biomechanical principles and the developm...

Case 1. A male infant, birth weight 6 lb. 6 oz. (2,891 g.), had a lumbar meningomyelocele which was repaired on the second day of life. At the age of 10 days, the infant's anterior fontanelle was tense and an air ventriculogram showed some dilatation of the lateral ventricles. However, subsequent head growth was not excessive, and by 5 months the skull circumference was 171 in. (44 cm.). At the...