The anatomy of the pelvis in the exstrophy complex.

Sponseller, Paul D.; Bisson, Les J.; Gearhart, John P.; Jeffs, Robert D.; Magid, Donna; Fishman, Elliott K.

doi:10.2106/00004623-199502000-00003

Cited by 212 publications

(81 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies by Sponseller et al (5) and Stec et al (6) have demonstrated that, in addition to the increased diastasis of the public symphysis, the posterior part of the pelvis presents external rotation of 12º, the acetabulum is retroverted, the anterior part has external rotation of 18º and the pubic branches are around 30% smaller than normal. In addition, the angle of the sacroiliac joint is 10º greater, there is internal rotation of the pelvis of around 15º, the volume is around 40% greater and the surface is 20% greater.…”

Section: Remarks About Exstrophymentioning

confidence: 98%

Osteotomia pélvica anterior bilateral para o fechamento de extrofia de bexiga: descrição de técnica

et al. 2011

View full text Add to dashboard Cite

Section: Remarks About Exstrophymentioning

confidence: 98%

Osteotomia pélvica anterior bilateral para o fechamento de extrofia de bexiga: descrição de técnica

et al. 2011

View full text Add to dashboard Cite

“…This, in turn, coincides with divergence of the rectus abdominis muscles and also with external rotation of the pelvis. There is a 30 % shortening of the anterior pelvis with increased distance between the triradiate cartilage and also retroversion of the acetabulum [19].…”

Section: Anatomy Of Eecmentioning

confidence: 99%

Exstrophy-Epispadias Complex

Stuhldreher¹,

Inouye²,

Gearhart³

2015

Curr Bladder Dysfunct Rep

View full text Add to dashboard Cite

Bladder exstrophy is a complex congenital birth defect ranging from complete epispadias to complete bladder exstrophy. Though not included in the exstrophy-epispadias complex (EEC) disease spectrum, cloacal exstrophy is a more severe form which includes bowel segments in the defect and has many of the same defects as the EEC. Initial care of these complex patients focuses on the primary repair of the defect, a repair which is the most important of the many operations these children will have in their lifetime. A failure of primary closure is associated with worse outcomes across the board. The most essential goal in treatment of the exstrophy patient is renal protection. Once that can be assured, social continence then becomes the most important goal. Given the complex nature of this disorder, these children should be managed at speciality centers with orthopedic, urologic, and nursing experience with these patients.

show abstract

“…This is caused by malrotation of the innominate bones in relation to the sagittal plane of the body along both sacroiliac joints. The malrotation of the innominate bones also causes increased distance between the hips and outward rotation of the acetabula and lower limbs [6]. More recently, imaging of the bony pelvis with computerized tomography has detailed the extent of significant external rotation of the iliac wing angle (11.4º greater) and the sacroiliac joint angle (9.9º greater) when compared with gender-and age-matched healthy control subjects [7].…”

Section: Associated Defectsmentioning

confidence: 99%

Current management of bladder exstrophy

Mourtzinos

Borer

2004

Curr Urol Rep

View full text Add to dashboard Cite

Bladder exstrophy is a complex anomaly involving the urinary, genital, and intestinal tracts and the musculoskeletal system. The diagnosis is made typically at the newborn examination or on fetal ultrasonography that is performed by an experienced observer. Management of bladder exstrophy presents several challenges, beginning with initial repair using the more conventional staged approach or the recently re-popularized complete primary repair technique. Major goals in the management of bladder exstrophy are preservation of normal kidney function, close observation for development of adequate bladder function including urinary continence, and provision of acceptable cosmesis and function of the external genitalia. This article provides a brief overview of bladder exstrophy and a detailed description of modern management.

show abstract

The anatomy of the pelvis in the exstrophy complex.

Cited by 212 publications

References 15 publications

Osteotomia pélvica anterior bilateral para o fechamento de extrofia de bexiga: descrição de técnica

Osteotomia pélvica anterior bilateral para o fechamento de extrofia de bexiga: descrição de técnica

Exstrophy-Epispadias Complex

Current management of bladder exstrophy

Contact Info

Product

Resources

About