Early Management and Decision Making for the Treatment of Myelomeningocele

Gross, Richard H.; Cox, Alan D.; Tatyrek, Ruth; Pollay, Michael; Barnes, William A.

doi:10.1016/s0022-5347(17)50663-1

Cited by 8 publications

(11 citation statements)

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“…Our results confirm the steady decline in early post operative mortality in both selective [17][18][19][20] and nonselective [21][22][23][24] series since Ingraham's [25] monograph in 1943. In a somewhat unselective series he reported a 12% operative and early postoperative mortality in 279 cases.…”

Section: Discussionsupporting

confidence: 83%

Myelomeningocele Repair: Technical Considerations and Complications

McCullough¹,

Johnson²

1994

Pediatr Neurosurg

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Section: Discussionsupporting

confidence: 83%

Myelomeningocele Repair: Technical Considerations and Complications

McCullough¹,

Johnson²

1994

Pediatr Neurosurg

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“…The philosophic debates continue as we are exhorted to pay attention to qualitative outcomes and the social and family impacts--:the rest of the story'. 10 …”

Section: Open Neural Tube Defectsmentioning

confidence: 99%

Current trends in spinal dysraphism

Humphreys

1991

Spinal Cord

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“…3,4 The subjects' neurological level was de termined by assessing the last functioning level, considering the most important mus cular groups for ambulation. When patients had different levels of function for each leg, the leg with the least function was used for classification purposes (Fig 1).…”

Section: Neuromotor Functionmentioning

confidence: 99%

Interdisciplinary treatment of spina bifida children

Redaelli¹,

Cassinis²,

Cosignani³

et al. 1992

Spinal Cord

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spina bifida children have been treated. The results of the rehabilitation programme (including orthopaedic, urological and psycho social aspects) at the time of the survey were: (a) Neuromotor function: 72% of the patients achieved ambulation, 52% of these being less than 2 years of age, and 20% older than 2 years; 18% were too young for walking. Thus, considering the children's age, about 90% of the subjects achieved the standing position, and 89% achieved ambulation. (b) Bladder function: 83% of the children had a complete urological evaluation;40% of those with a neuropathic bladder had a hyperreflexic type, 54% areflexic, and 6% normoreflexic. Thirty-two percent of the patients had signs of 'high pressure' bladder function. Urinary continence was: 36% ? 2 hours, 20% < 2 hours, 44% not detectable (age < 2 years). Forty percent of the subjects used intermittent catheterisation. (c) Psychosocial aspect: child adaptation to the disease and to the rehabilitation programme was good in 61 % of the patients; family problems were identified in 70% of the patients; enrolment in preschool and school programmes was normal (or with specialist teaching) in about 74%; 33.3% of the subjects had disturbance of affect. The results clearly showed that the interdisciplinary approach favoured the social integration of these children.

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Early Management and Decision Making for the Treatment of Myelomeningocele

Cited by 8 publications

References 0 publications

Myelomeningocele Repair: Technical Considerations and Complications

Myelomeningocele Repair: Technical Considerations and Complications

Current trends in spinal dysraphism

Interdisciplinary treatment of spina bifida children

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