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Acta Neurochirurgica
Published in: Acta Neurochirurgica 10/2013

01-10-2013 | Case Report - Pediatrics

Repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis

Authors: John C. Duddy, John Caird, Paul Connolly

Published in: Acta Neurochirurgica | Issue 10/2013

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Abstract

This report describes a novel method of repair for a large thoracolumbar myelomeningocele with an associated lumbar kyphosis in the neonate. A Caucasian male child was born at term with an antenatal diagnosis of hydrocephalus and spina bifida. Lumbar spine X-ray showed a significant kyphosis at L2–L3 level. Kyphectomy was performed and a cervical plate was used to reduce the gibbus deformity and maintain a rigid construct. Local rotation flaps were elevated and advanced to cover the defect. Wound was well healed at 3-month follow-up and the patient remained shunt-free at 1 year. To our knowledge, this is the first description of myelomeningocele repair with kyphectomy and posterior fixation in a neonate.
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Metadata
Title
Repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis
Authors
John C. Duddy
John Caird
Paul Connolly
Publication date
01-10-2013
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 10/2013
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-013-1805-y

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