ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2014
A comparison of techniques for myelomeningocele defect closure in the neonatal period.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Clinical Outcomes of Myelomeningocele Defect Closure: 10-year Experience from a Single Center.Journal of plastic and reconstructive surgery · 2026Article
- Myelomeningocele closure: A review and decision-making guidance.JPRAS open · 2025Review
- Clinical presentation and outcomes of neonates born with neural tube defects- an experience from a level III B NICU in Western India.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Observational
- Closure of meningomyelocele defects using various types of keystone-design perforator island flaps.Archives of plastic surgery · 2021Article
- Rotation flap closure of a giant dorsolumbar myelomeningocele: technical note.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Review
- How much do plastic surgeons add to the closure of myelomeningoceles?Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- Management of Lumbosacral Myelomeningocele.Eplasty · 2016Article
- Myelomeningocele defect closure.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014Article
- Risk factors, presentation and outcome of meningomyelocele repair.Pakistan journal of medical sciencesArticle
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeNumerous techniques have been described for repair of myelomeningoceles, but outcome data is scarce. PATIENTS AND
methodsA retrospective review was performed in 32 consecutive patients who underwent neonatal myelomeningocele repair and extra-dural closure to determine the influence of repair type on outcome. All procedures for myelomeningocele closure were classified into one of three groups, which included primary closure, myocutaneous flaps, and fasciocutaneous flaps.
resultsDefect size ranged from 1 to 48 cm(2). Primary skin closure was performed in 3 patients, fasciocutaneous flaps in 13 patients, and myocutaneous flaps in 16 patients. The overall complication rate was 18%. No difference in the complication rates among the primary closure, myocutaneous, and fasciocutaneous flap groups was observed in our analysis. While not statistically significant, our data documents an association of fasciocutaneous flaps with postoperative complications that were not evident with primary skin closure or myocutaneous flaps (odds ratio 3.8; p = 0.15). The occurrence of one or more complications was associated with a longer hospital stay.
conclusionsMyocutaneous flaps provide a secure repair and should be considered for smaller myelomeningocele defects in addition to the larger defects where they are more traditionally used. We propose a tissue-based classification of closure techniques strictly for multi-institution outcome comparison that may ultimately inform clinical decision-making.
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