Team Approach: Guideline-Based Management of Skin Injury in Individuals with Myelomeningocele

Bradko, Viachaslau; Hill, Jaclyn F.; Castillo, Heidi; Castillo, Jonathan

doi:10.2106/jbjs.rvw.18.00062

Cited by 3 publications

(3 citation statements)

References 38 publications

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“…In cases of progressive spine or foot deformity, new braces and/or a new wheelchair cushion may need to be fabricated. After the spine is surgically repaired, wheelchair cushions should be reevaluated and adjusted accordingly 67 .…”

Section: Clinical Consensusmentioning

confidence: 99%

“…among individuals with MMC is imperative 67,68 . Skin injury and infection have been central concerns in previously reported series [69][70][71] (Fig.…”

Section: Clinical Consensusmentioning

confidence: 99%

“…Hence, consultation with a plastic surgeon regarding a multilayered flap closure is highly recommended 33,66 . Likewise, this partnership often is essential for the management of pressure injuries because use of a team approach to skin injury management among individuals with MMC is imperative 67,68 .…”

Section: Team Approachmentioning

confidence: 99%

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Team Approach: The Management of Adolescents and Adults with Scoliosis and Spina Bifida

et al. 2022

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Globally, the prevalence of myelomeningocele, the most common subtype of spina bifida, is 0.2 to 6.5 per 1,000 live births. In the U.S., adults account for .67% of the overall population with spina bifida.» With an estimated prevalence of up to 50%, scoliosis is one of the most common and severe orthopaedic conditions in patients with myelomeningocele.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A814).

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Section: Clinical Consensusmentioning

confidence: 99%

“…among individuals with MMC is imperative 67,68 . Skin injury and infection have been central concerns in previously reported series [69][70][71] (Fig.…”

Section: Clinical Consensusmentioning

confidence: 99%

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Team Approach: The Management of Adolescents and Adults with Scoliosis and Spina Bifida

et al. 2022

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Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery

et al. 2019

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An estimated 60% of the world's population lives in Asia, where the incidence of neural tube defects is high. Aware that tethered cord syndrome (TCS) is an important comorbidity, the purpose of this systematic review was to explore the treatment of TCS among individuals living with spina bifida (SB) in Asia. MEDLINE and Embase databases were searched for relevant studies published from January 2000 to June 2018. Search terms such as 'spinal dysraphism,' 'spinabifida,' 'diastematomyelia,' 'lipomeningocele,' 'lypomyelomeningocele,' 'meningomyelocele,' and 'tethered cord syndrome' were used in diverse combinations. Of the 1,290 articles that were identified in accordance with PRISMA (Preferred Items for Systematic Reviews and Meta-Analyses) guidelines, 15 Asia-based studies met the inclusion criteria. Significant differences in the diagnostic criteria and management of TCS were documented. As the surgical techniques for prenatal closure of the spinal defect continue to evolve, their adoption internationally is likely to continue. In this setting, a clear and evidence-based approach to the definition and management of TCS is essential. The recent publication by the Spina Bifida Association of America of their updated care guidelines may serve as a tool used to promote a systematized approach to diagnosing and treating TCS among individuals with SB in the region, as well as globally.

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Acquired amputations in patients with spina bifida

Deshpande

Gormley

2022

PRM

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PURPOSE: The purpose of this study was to assess if the incidence of lower extremity (LE) pressure injuries resulting in amputations was more frequent in ambulatory versus non-ambulatory patients with spina bifida. METHODS: The medical records of all patients at a large pediatric rehabilitation hospital who had spina bifida and a history of a pressure injury between 1997–2018 were retrospectively reviewed. RESULTS: In this study, 112 patients with spina bifida developed LE pressure injuries, 53 patients walked with braces and/or an assistive device, and 59 patients used a wheelchair for mobility. Of the 11 patients who had amputations, 10 walked and 1 did not walk prior to their amputation. Ambulatory patients with LE pressure injuries had a 19% chance (10 out of 53 patients) of requiring an amputation. Non-ambulatory patients with a LE pressure injury had only a 2% chance (1 out of 59 patients) of requiring an amputation. Ambulatory patients with LE pressure injuries were at a much higher risk of requiring an amputation than patients who did not walk (p-value of < 0.005). CONCLUSION: Patients with spina bifida who are ambulatory and develop a pressure injury have a high risk of ultimately needing an amputation and should be monitored and treated aggressively.

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Team Approach: Guideline-Based Management of Skin Injury in Individuals with Myelomeningocele

Cited by 3 publications

References 38 publications

Team Approach: The Management of Adolescents and Adults with Scoliosis and Spina Bifida

Team Approach: The Management of Adolescents and Adults with Scoliosis and Spina Bifida

Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery

Acquired amputations in patients with spina bifida

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