Evidence map›Paper›PMID 41953226›Full record

ArticleNeurosurgical focus: Video2026

Open fetal myeloschisis closure: pearls for uterine exposure and closure.

David S Hersh, Andrew J Healy, Timothy M Crombleholme

Abstract read
In one paragraph

Article in Neurosurgical focus: Video, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

David S HershDivision of Neurosurgery, Connecticut Children's, Hartford.
Andrew J HealyConnecticut Children's Fetal Care Center, Connecticut Children's, Hartford; and.
Timothy M CrombleholmeConnecticut Children's Fetal Care Center, Connecticut Children's, Hartford; and.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fetal closure of an open neural tube defect offers the potential to limit progressive neurological injury and improve long-term outcomes. Myeloschisis presents unique challenges due to the technical complexity of mobilizing the skin and achieving adequate soft tissue coverage, particularly in the sacral region. In this video, the authors demonstrate an open fetal myeloschisis closure in a fetus with an S1-level defect and associated grade 3 hindbrain herniation. The preoperative counseling process, surgical technique, and perioperative course are highlighted, with a focus on pearls for the exposure and closure of the uterus. The video can be found here: https://stream.cadmore.media/r10.3171/2026.1.FOCVID25231.

Indexed as

dysraphismfetalhysterotomymyelomeningocelemyeloschisisprenatalspina bifidaspinal

Identifiers

PMID41953226
PMCPMC13055901

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.