Intrauterine Surgical Correction of the Myelomeningocele in a Fetus and Its Outcomes: A Pilot Study

Курцер, М. А.; Притыко, А. Г.; Spiridonova, E.I.; Zvereva, Alexandra; Panina, N.G.; Sokolovskaya, Yu.V.; Petraki, Vassiliki; Asadov, Ruslan; Polyakova, O.V.; Kutakova, Yu.Yu.; Baranova, E.A.; Scientific, V.F. Voino-Yasenetsky

doi:10.24110/0031-403x-2020-99-1-18-24

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“…Combinations of leg amputation with congenital malformations of the musculoskeletal system and, in particular, the spine, for example, Spina bifida, are especially difficult. The most common and significant clinical form of Spina bifida is myelomeningocele (MMC), in which a hernia forms with the involvement of the membranes and tissues of the spinal cord [3][4][5][6][7][8]. The condition, which occurs in about 1 child in 1000 newborns [9,5]), is characterized by the inability of the lumbosacral spinal neural tube to close during embryonic development.…”

Section: Introductionmentioning

confidence: 99%

"A Unique Case of Rehabilitation of a Young Girl with a Bilateral Above the Knee Stumps and Spina Bifida"

AA¹

2021

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A clinical example of rehabilitation of a 26-year-old girl who underwent amputation of both thighs in childhood and who moves in a wheelchair is considered. Concomitant pathology of the spinal cord -the presence of meningomyelocele and open Spina bifida did not allow the fabrication of leg prostheses on the stump of the thighs without preliminary surgical preparation. Long-term sitting position and movement only in a wheelchair led to the formation of contact chronic osteomyelitis of the pelvic bones. A number of staged operations for the treatment of osteomyelitis, correction of spinal deformity in the Spina bifida area were performed. Then, primary prosthetics of the stumps of both thighs was performed, in combination with orthosis (corset made of thermoplastic material) of the lumbar spine. This allowed the patient to be verticalized, who was able to stand and move with the help of a walker. This observation demonstrates a positive result of a multidisciplinary approach to the rehabilitation of patients with a very complex combined pathology of the musculoskeletal system: the spine and lower extremities.

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Section: Introductionmentioning

confidence: 99%

"A Unique Case of Rehabilitation of a Young Girl with a Bilateral Above the Knee Stumps and Spina Bifida"

AA¹

2021

BJSTR

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show abstract

Intrauterine Surgical Correction of the Myelomeningocele in a Fetus and Its Outcomes: A Pilot Study

Cited by 1 publication

References 0 publications

"A Unique Case of Rehabilitation of a Young Girl with a Bilateral Above the Knee Stumps and Spina Bifida"

"A Unique Case of Rehabilitation of a Young Girl with a Bilateral Above the Knee Stumps and Spina Bifida"

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