Recent advances in the care of children with myelomingocele have resulted in increased survival in this group of patients. With the discrediting of previous studies advocating selection of only the ''best'' patients, aggressive management of this whole population is now the standard of care. Early surgery involves closure of the spinal lesion and frequently the placement of a spinal fluid diversionary shunt. In addition, urologic and orthopedic problems must be dealt with early on. Signs of late deterioration, usually due to the Chiari II malformation or the tethered spinal cord syndrome, may occur at any time in the patient's life, and must be recognized and treated promptly.
|Original language||English (US)|
|Number of pages||5|
|State||Published - Dec 1 1990|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health