Congenital and developmental deformities of the spine in children with myelomeningocele

James T. Guille*, John F Sarwark, Henry H. Sherk, S. Jay Kumar

*Corresponding author for this work

Research output: Contribution to journalReview article

34 Scopus citations

Abstract

The treatment of spinal deformities in children with myelomeningocele poses a formidable task. Multiple medical comorbidities, such as insensate skin and chronic urinary tract infection, make care of the spine difficult. A thorough understanding of the natural history of these deformities is mandatory for appropriate treatment to be rendered. A team approach that includes physicians from multiple specialties provides the best care for these patients. The two most challenging problems are paralytic scoliosis and rigid lumbar kyphosis. The precise indications for surgical intervention are multifactorial, and the proposed benefits must be weighed against the potential risks. Newer spinal constructs now allow for fixation of the spine in areas previously difficult to instrument. Complications appear to be decreasing with improved understanding of the pathophysiology associated with myelomeningocele.

Original languageEnglish (US)
Pages (from-to)294-302
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume14
Issue number5
DOIs
StatePublished - Jan 1 2006

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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