Kyphectomy in neonates with meningomyelocele

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dc.contributor.authorÖzdemir N.
dc.contributor.authorÖzdemir S.A.
dc.contributor.authorÖzer E.A.
dc.date.accessioned2024-07-22T08:08:48Z
dc.date.available2024-07-22T08:08:48Z
dc.date.issued2019
dc.description.abstractPurpose: Kyphosis is the most severe spinal deformity associated with meningomyelocele (MMC) and is seen in approximately 15% of neonates. Our purpose is to present our clinical experience, to discuss the technique and deformity correction in kyphectomy in neonates with MMC, and to assess its long-term outcomes. Method: In this prospective study, the authors reviewed eight cases submitted to surgery between 2013 and 2015. We evaluated clinical characteristics that were analyzed, as were the operative technique employed, and angle range of the kyphosis deformity postcorrection follow-up. Results: Neonatal kyphectomy was performed of six females and two males. The mean birth weight was 2780 g, and the mean age at the time of surgery was 5.6 days. There were S-shaped type deformity in lumbar region in all neonates. In the correction of the kyphotic deformity, a total vertebrae were removed from four patient, whereas a partial vertebrectomy was done in four. The mean operative time was 116 min. No patients did not require the blood transfusion. There were no serious complications, and wound closure was successful in all patients. The mean follow-up period was 4 years and 3 months (range 36–61 months), except one patient who died 1 week after discharge. The mean preoperative kyphosis of 75.6° (range, 50°-90°) improved at last follow-up to 35° (range 15°–55°). All patients had surgical procedures for hydrocephalus. Three patients had surgery for Chiari type II malformation. The mean hospital stay was 27.7 days. Conclusion: Kyphectomy performed at the time of dural sac closure in the neonate is a safe procedure with excellent correction. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.
dc.identifier.DOI-ID10.1007/s00381-018-4006-4
dc.identifier.issn02567040
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/14545
dc.language.isoEnglish
dc.publisherSpringer Verlag
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant, Newborn
dc.subjectKyphosis
dc.subjectLumbar Vertebrae
dc.subjectMale
dc.subjectMeningomyelocele
dc.subjectOrthopedic Procedures
dc.subjectTreatment Outcome
dc.subjectArticle
dc.subjectbirth weight
dc.subjectclinical article
dc.subjectCobb angle
dc.subjectcomputer assisted tomography
dc.subjectfemale
dc.subjectfollow up
dc.subjecthospitalization
dc.subjecthuman
dc.subjecthydrocephalus
dc.subjectkyphectomy
dc.subjectkyphosis
dc.subjectlong term care
dc.subjectlumbar region
dc.subjectmale
dc.subjectmeningomyelocele
dc.subjectneural tube defect
dc.subjectnewborn
dc.subjectnuclear magnetic resonance imaging
dc.subjectoperation duration
dc.subjectparaplegia
dc.subjectpostoperative complication
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectsitting
dc.subjectsurgical technique
dc.subjectthree dimensional imaging
dc.subjectwound closure
dc.subjectcase report
dc.subjectcomplication
dc.subjectlumbar vertebra
dc.subjectmeningomyelocele
dc.subjectorthopedic surgery
dc.subjectprocedures
dc.subjecttreatment outcome
dc.titleKyphectomy in neonates with meningomyelocele
dc.typeArticle

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