conclusions getting a complete knowledge of the condition and evaluating different treatment modalities to treat thoracic insufficiency syndrome. results a direct enlargement of the thorax that will thus provide sufficient space for lung growth; the correction of both the three-dimensional thoracic deformity and the progressive scoliosis. recent findings have revealed that veptr instrumentation...

The coexistence of myelomeningocele (MMC) and split cord malformation (SCM) is a well-known phenomenon. The SCM is usually above or at the level of the MMC. Split cord malformation distal to the MMC is considered to be the rarest form of such a combination. We report a case of SCM (type I) distal to the MMC diagnosed pre-operatively. Repair of the MMC and the SCM were carried out in the same se...

In 1968 a technique of osteotomy-excision of the lumbar spine for congenital kyphosis in myelomeningocele in the newborn was described and the initial results were reviewed (Sharrard 1968). Since then the technique has been extended for the management of increasing kyphosis in older children in whom the operation had not been done immediately after birth. This paper describes the progressive de...