SynthesisJournal of orthopaedic surgery and research2021
Orthopedic management of myelomeningocele with a multidisciplinary approach: a systematic review of the literature.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Sexual Dysfunction and Lower Urinary Tract Dysfunction in Adults With Spina Bifida.International journal of urology : official journal of the Japanese Urological Association · 2026Observational
- Evolving surgical strategies in myelomeningocele (MMC): shift toward index fusion with stable complication rates.Spine deformity · 2026Article
- Multidisciplinary Approach to Managing Recurrent Cerebrospinal Fluid Leak in a Pediatric Patient Following Myelomeningocele Repair.Plastic and reconstructive surgery. Global open · 2025Article
- Neurogenic Bladder in Children with Myelomeningocele.Diseases (Basel, Switzerland) · 2025Review
- Article
- Evaluation of Knee Position Sense in Children with Motor Disabilities and Children with Typical Development: A Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Ultrasonographic images of spina bifida before obstetric anesthesia: a case series.BMC anesthesiology · 2023Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMyelomeningocele (MMC) is the most common and severe form of spina bifida and imposes a significant burden on patients and the healthcare system. Recently, the multidisciplinary management of MMC has become popular. Herein, we aimed to review the orthopedic management, outcomes, and complications of the of patients with MMC eyeing a multidisciplinary approach.
methodsWe searched PubMed and EMBASE to find relevant studies published before August 2020. All studies that included clinical management of MMC patients and published earlier than 2000 were considered for review on the condition that they reported at least one orthopedic intervention and the rate of complications. We excluded review articles, case reports, case series, letters, commentaries, editorials, and conference abstracts. The primary and secondary goals of our review were to report the outcomes and complication rates of multidisciplinary management for MMC patients.
resultsTwenty-six studies included data for the management of 229,791 patients with MMC and were selected. Sixteen studies reported multidisciplinary management in addition to orthopedic management. From those, 11 (42.31%) included urologic management, 13 (50%) neurosurgical management, 11 (42.31%) neurologic management, and 5 (19.23%) gastrointestinal management. All studies included postnatal operations and related management. No randomized clinical trial was found in our search.
conclusionOrthopedic approaches play a key role in MMC management by alleviating spinal deformities, particularly scoliosis, and hip, foot, and ankle complications. However, the most appropriate management, whether surgical or non-surgical, may vary for different patients, given disease severity and the age of patients.
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