Evidence map›Paper›PMID 25029586›Full record

ReviewThe journal of spinal cord medicine2015

Who needs surgery for pediatric myelomeningocele? A retrospective study and literature review.

Humberto Marreiros, Clara Loff, Eulália Calado

Abstract readReview
In one paragraph

Review in The journal of spinal cord medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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 · 2024
    Observational
  5. Article
  6. A perspective in the management of myelomeningocoele in the KwaZulu-Natal Province of South Africa.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Observational
  7. Kyphectomy in neonates with meningomyelocele.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    Article
  8. A comparison of the MOMS trial results to a contemporaneous, single-institution, postnatal closure cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Humberto Marreiros
Clara Loff
Eulália Calado

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChildren with myelomeningocele (MMC) are usually subjected to multiple surgeries. However, the number and type of surgeries are not the same in every patient with MMC over time. This report summarizes the surgical interventions in a cohort of several ages. MATERIALS AND

methodsData on all of the patients with MMC, aged from 1 year and 10 months to 21 years and 11 months, were retrospectively reviewed at the Dona Estefânia Hospital in Lisbon, Portugal. Data were collected by chart review and individual interviews. The factors analyzed were demographics, ambulatory status, neurological level of involvement, shunt status, Arnold-Chiari malformation type II, surgical history, and occurrence of fracture. The surgical interventions were categorized as neurosurgical, orthopedic, urinary, ulcer repair and others.

resultsA total of 84 alive were eligible and enrolled. The average age was 14 years and six months. A total of 59 patients received shunts (all but one ventriculoperitoneal). In the study group, the 84 patients required 663 surgeries. Neurosurgical interventions were the most frequent surgical procedure and predominated during the first 2 years of life. Surgical interventions related to shunts were the most common neurosurgical interventions. Orthopedic surgeries were more frequent in the age group 6-12 years. Urological surgeries were done mainly after 6 years of age. Surgical repair of pressure ulcers was more common after 12 years of age.

conclusionsOur study brings to light the complexity of this condition, with multiple surgeries among patients with MMC.

Indexed as

AdolescentAdultArnold-Chiari MalformationChildChild, PreschoolFemaleHumansInfantMaleMeningomyeloceleNeurosurgical ProceduresOrthopedic ProceduresPressure UlcerRetrospective StudiesUrologic Surgical ProceduresVentriculoperitoneal ShuntMyelomeningoceleQuality of lifeSurgery

Identifiers

PMID25029586
PMCPMC4535805

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.