Letter to the editor: Duddy et al. repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis. October 2013, Volume 155, Issue 10, pp 1965-1968
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Dear Editor, we have read with great interest the paper of Duddy et al. Repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis. October 2013, Volume 155, Issue 10, pp 1965-1968.
Approximately 10 % of infants born with severe myelomeningocele will also have a kyphotic deformity of the spine. Agressive kyphotic deformity occurs in 15 % of these children. The higher the neurological level, the higher the rate of spinal deformity at maturity, and for levels up T12, kyphosys is expected frequently . But the mechanisms involved in the appearance of neonatal Kyphosis are not fully understood.
All neurosurgeons agree that emergent neurosurgical intervention is mandatory to close the defect and protect the CNS from bacterial invasion, free the spinal cord from cutaneous attachment and reconstruct the subarachnoid spaces. However, in the severe kyphotic deformity, there are controversies between authors who have approached this problem about the optimal time for...
KeywordsChiari Malformation Shunt Infection Kyphotic Deformity Deep Wound Infection Excessive Blood Loss
Conflicts of interest
This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors’
Conception and design: Márquez-Rivas
Acquisition of data and Initial drafting: Mayorga-Buiza, Rivero Garvia
Drafting and revision: All authors
Final approval: all authors
The revision was approved by local investigation committee and informed consent was obtained for pictures, ensuring that identities have been omitted.
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