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Myelomeningocele

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161. Predictive Factors in Open Myelomeningocele with Special Reference to Sensory Level (Full text)

Predictive Factors in Open Myelomeningocele with Special Reference to Sensory Level A total of 113 cases of open myelomeningocele operated on shortly after birth were followed up and the 80 survivors (71%) were assessed one and a quarter to seven and a half years later. Their disability was classified in terms of mobility, intelligence, continence, and major complications; these when combined provided an assessment of overall disability. The overall disability of the survivors was minimal in 6 (...) of achieving independence would involve selecting for treatment a minority of all infants born with open myelomeningocele.

1973 British medical journal PubMed

162. Myelomeningocele. Part I. Orthopedic management in children. (Full text)

Myelomeningocele. Part I. Orthopedic management in children. 4608772 1975 01 17 2018 11 13 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part I. Orthopedic management in children. 281-91 Specht E E EE eng Journal Article Review United States West J Med 0410504 0093-0415 IM Adolescent Ankle surgery Arthrodesis adverse effects Braces Child Foot Deformities, Acquired surgery therapy Hip Dislocation surgery Humans Joint Diseases therapy Knee

1974 Western Journal of Medicine PubMed

163. Myelomeningocele. Part III. Urologic considerations. (Full text)

Myelomeningocele. Part III. Urologic considerations. 4608774 1975 01 17 2018 11 13 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part III. Urologic considerations. 292-6 Tanagho E A EA eng Journal Article United States West J Med 0410504 0093-0415 IM Child Female Humans Male Meningomyelocele complications Spinal Dysraphism complications Urinary Incontinence complications Urinary Tract Infections complications Urologic Diseases complications 1974 10 1

1974 Western Journal of Medicine PubMed

164. Myelomeningocele. Part II. Ophthalmologic problems. (Full text)

Myelomeningocele. Part II. Ophthalmologic problems. 4608773 1975 01 17 2018 11 13 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part II. Ophthalmologic problems. 291-2 Goodner E K EK eng Journal Article United States West J Med 0410504 0093-0415 IM Child Eye Diseases complications Humans Meningomyelocele complications Spinal Dysraphism complications Vision Disorders complications 1974 10 1 1974 10 1 0 1 1974 10 1 0 0 ppublish 4608773 PMC1130216 AMA

1974 Western Journal of Medicine PubMed

165. Myelomeningocele. Part IV. Psychosocial problems and social work interventions. (Full text)

Myelomeningocele. Part IV. Psychosocial problems and social work interventions. 4608775 1975 01 17 2008 11 20 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part IV. Psychosocial problems and social work interventions. 297-8 Prince B B eng Journal Article United States West J Med 0410504 0093-0415 IM Adolescent Child Female Humans Male Meningomyelocele rehabilitation Social Work Spinal Dysraphism rehabilitation 1974 10 1 1974 10 1 0 1 1974 10 1 0 0

1974 Western Journal of Medicine PubMed

166. Myelomeningocele. Part V. Neurosurgical aspects. (Full text)

Myelomeningocele. Part V. Neurosurgical aspects. 4608776 1975 01 17 2008 11 20 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part V. Neurosurgical aspects. 298-300 Pevehouse B C BC eng Journal Article United States West J Med 0410504 0093-0415 IM Humans Infant Infant, Newborn Meningomyelocele physiopathology surgery Nervous System physiopathology Neurosurgery Spinal Dysraphism physiopathology 1974 10 1 1974 10 1 0 1 1974 10 1 0 0 ppublish 4608776

1974 Western Journal of Medicine PubMed

167. Myelomeningocele. Part VI. General considerations. (Full text)

Myelomeningocele. Part VI. General considerations. 4608777 1975 01 17 2018 11 13 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Myelomeningocele. Part VI. General considerations. 300-4 Cohen P P eng Journal Article United States West J Med 0410504 0093-0415 IM Child Child, Preschool Ethics, Medical Humans Infant Meningomyelocele diagnosis therapy Spinal Dysraphism 1974 10 1 1974 10 1 0 1 1974 10 1 0 0 ppublish 4608777 PMC1130220 Lancet. 1968 Aug 3;2(7562):274-6 4173698

1974 Western Journal of Medicine PubMed

168. Editorial: Myelomeningocele. (Full text)

Editorial: Myelomeningocele. 4608838 1975 01 17 2018 11 13 0093-0415 121 4 1974 Oct The Western journal of medicine West. J. Med. Editorial: Myelomeningocele. 321-2 Beals R K RK eng Journal Article United States West J Med 0410504 0093-0415 IM Child Child, Preschool Female Humans Infant Infant, Newborn Meningomyelocele embryology surgery Pregnancy Spinal Dysraphism 1974 10 1 1974 10 1 0 1 1974 10 1 0 0 ppublish 4608838 PMC1130236 Dev Med Child Neurol. 1968;:Suppl 16:76+ 4896362 Br J Prev Soc

1974 Western Journal of Medicine PubMed

169. Myelomeningocele. (Full text)

Myelomeningocele. 1090092 1975 05 22 2008 11 20 0093-0415 122 2 1975 Feb The Western journal of medicine West. J. Med. Myelomeningocele. 175 eng Journal Article United States West J Med 0410504 0093-0415 IM Female Genetic Counseling Humans Infant, Newborn Meningomyelocele diagnosis genetics surgery Pregnancy Prenatal Diagnosis Spinal Dysraphism genetics 1975 2 1 1975 2 1 0 1 1975 2 1 0 0 ppublish 1090092 PMC1130320

1975 Western Journal of Medicine PubMed

170. Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele (Full text)

Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele 21042524 2011 07 14 2018 11 13 1998-3948 5 1 2010 Jan Journal of pediatric neurosciences J Pediatr Neurosci Strict clinical and radiographic criteria for reduction of CSF shunt placement in patients with spinal myelomeningocele. 88 10.4103/1817-1745.66667 Wiwanitkit Viroj V Wiwanitkit House, Bangkhae, Bangkok, Thailand - 10160. eng Journal Article India J Pediatr Neurosci

2010 Journal of pediatric neurosciences PubMed

171. Activity Level, Functional Health, and Quality of Life of Children with Myelomeningocele as Perceived by Parents. (Full text)

Activity Level, Functional Health, and Quality of Life of Children with Myelomeningocele as Perceived by Parents. To provide the best health care for individuals with myelomeningocele (MM), clinicians and researchers need to understand their health and functional status as well as quality of life. The literature is mixed regarding the relationship between motor level and health-related quality of life (HRQOL) for these individuals.We compared the HRQOL of children with MM at the L2 and above

2010 Clinical Orthopaedics and Related Research PubMed

172. Kyphectomy Improves Sitting and Skin Problems in Patients with Myelomeningocele. (Full text)

Kyphectomy Improves Sitting and Skin Problems in Patients with Myelomeningocele. Progressive kyphosis occurs in up to 20% of patients with myelomeningocele. Severely affected patients can develop recurrent skin breakdown, osteomyelitis, sitting imbalance, and poor cosmetic appearance.We (1) assessed the ability of kyphectomy to restore an intact skin envelope and allow comfortable seating in a wheelchair; (2) reviewed the complications of kyphectomy and spinal fusion in myelomeningocele; and (3 (...) ) determined whether patients requiring unexpected reoperation had worse correction or more ulceration compared with those patients treated with a single surgery.We retrospectively reviewed the records of 23 children with thoracic-level myelomeningocele who were treated with kyphectomy and spinal fusion since 1980. Indications for surgery included recurrent skin breakdown (15 patients) and poor sitting balance or unacceptable cosmetic deformity (three patients). We evaluated operative technique, type

2010 Clinical Orthopaedics and Related Research PubMed

173. Effects of birth advancement in Chiari malformation in a surgical myelomeningocele model in rabbits. (PubMed)

Effects of birth advancement in Chiari malformation in a surgical myelomeningocele model in rabbits. In myelomeningocele (MMC), Chiari II malformation progresses during gestation because of the continuous loss of cerebrospinal fluid at the site of the defect. Our purpose was to assess the impact of birth advancement (BA) and prenatal corticosteroid treatment (PCT) on Chiari malformation in a surgical MMC model in rabbits.A surgical MMC-like defect was created in 75 fetal rabbits. Animals were

2010 Journal of Pediatric Surgery

174. Contributory Factors to Postoperative Spinal Fusion Complications for Children With Myelomeningocele. (PubMed)

Contributory Factors to Postoperative Spinal Fusion Complications for Children With Myelomeningocele. This is a retrospective review of all children with myelomeningocele (MMC) who were undergoing surgery for scoliosis at our institution.Our aim was to investigate possible correlations between poor nutritional indexes and/or positive urinary cultures before surgery to perioperative infection risk.Patients who have scoliosis secondary to MMC have been shown to have a high rate of infectious

2010 Spine

175. Impact of tethered cord release on symptoms of Chiari II malformation in children born with a myelomeningocele (Full text)

Impact of tethered cord release on symptoms of Chiari II malformation in children born with a myelomeningocele The role of distal traction in the form of a tethered spinal cord in exacerbating anatomical findings or symptoms of Chiari II malformation (CIIM) has been debated for decades. Despite the association of Chiari II malformation with myelomeningocele, the impact of tethered cord release on CIIM symptoms in patients has not been explored.A retrospective review of 59 patients born (...) with a myelomeningocele was performed. A total of 92 untethering procedures were performed in which symptoms of CIIM were present in 29 cases. In 57 out of 92 cases, the patients did not have symptoms of CIIM prior to untethering. Six cases were excluded because cervicomedullary decompression was performed prior to untethering. The response of CIIM symptoms, syrinx size, and cerebellar tonsil position were examined before and after spinal cord untethering.Forty-four characteristic signs and symptoms of CIIM were

2010 Child's Nervous System PubMed

176. Posterior Kyphectomy for Myelomeningocele With Anterior Placement of Fixation: A Retrospective Review. (Full text)

Posterior Kyphectomy for Myelomeningocele With Anterior Placement of Fixation: A Retrospective Review. Kyphosis in myelomeningocele is a rare and difficult problem. Many strategies have been used with no single procedure universally agreed on. Techniques involving anterior and posterior fixation may provide better fusion.We describe a novel procedure for anteroposterior kyphectomy in patients with myelomeningocele. Apical posterior kyphectomy is followed by the insertion of two rods distally

2010 Clinical Orthopaedics and Related Research PubMed

177. Kyphectomy in Children with Myelomeningocele. (Full text)

Kyphectomy in Children with Myelomeningocele. Patients with myelomeningocele and rigid lumbar and thoracolumbar kyphosis face substantial functional difficulties with sitting and lying supine and are prone to skin breakdown over the gibbus and risk of infection. Kyphectomy, along with cordotomy and segmental spinal instrumentation down to the pelvis, is one alternative that can provide reliable correction of the deformity but also can maintain that correction over a period of time.We determined (...) the fusion rates, deformity correction and maintenance, and perioperative complications of kyphectomy with long segmental spinal instrumentation using the Warner and Fackler technique.We retrospectively reviewed the charts and radiographs of 33 patients with myelomeningocele who had kyphectomy with segmental spinal instrumentation down to the pelvis between 1991 and 2006. The average age at surgery was 7.6 years (range, 3-19 years). Twenty-one patients had a minimum 2-year followup (average, 7.0 years

2010 Clinical Orthopaedics and Related Research PubMed

178. Torsion of the lower limb in children

or ensure normal gait. In otherwise healthy children, operative treatment consisting of derotational osteotomy is rarely indicated. Considered only for severe tibial rotation that does not correct by the age of 4 years and femoral malrotation that does not correct by the age of 8 years. In patients with neuromuscular disease, such as cerebral palsy or myelomeningocele, deformities may persist or worsen with time. If left untreated, these deformities may contribute to inefficient gait in ambulatory

2018 BMJ Best Practice

179. Spina bifida and neural tube defects

folate supplementation or fortification. Can affect the brain (anencephaly, encephalocele) or any level of the spinal axis, although most commonly involves the lumbosacral region. Not to be confused with spina bifida occulta, which affects the vertebral arches only and is a clinically insignificant radiological finding in 10% of the general population. Defects of the spinal cord are classified as myelomeningocele when both the spine and the meninges are exposed (open) or meningocele when only (...) factors, and are prevented with folate supplementation. The most common neural tube defects include anencephaly, which affects brain and skull development and is incompatible with life, and spina bifida, which means 'split spine'. This split may be limited to the vertebral arches, known as spina bifida occulta (clinically insignificant and common, affecting 10% of the population), or associated with spine anomalies such as myelomeningocele. Spina bifida presents clinically with variable paralysis

2018 BMJ Best Practice

180. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

The International Continence Society (ICS) defines “neurogenic lower urinary tract dys - function” (NLUTD) as “lower urinary tract dysfunction due to disturbance of the neurological control mechanism.” This broad definition is used to describe a multitude of conditions of varying severity. Common causes of NLUTD include: spinal cord injury (SCI), multiple sclerosis (MS), and myelomeningocele (MMC). Other causes of NLUTD include: Parkinson’s disease, cere- brovascular accidents, traumatic brain injury, brain

2019 Canadian Urological Association

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