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Kyphectomy in neonates with meningomyelocele

  • Nail ÖzdemirEmail author
  • Senem Alkan Özdemir
  • Esra Arun Özer
Original Paper
  • 65 Downloads

Abstract

Purpose

Kyphosis is the most severe spinal deformity associated with meningomyelocele (MMC) and is seen in approximately 15% of neonates. Our purpose is to present our clinical experience, to discuss the technique and deformity correction in kyphectomy in neonates with MMC, and to assess its long-term outcomes.

Method

In this prospective study, the authors reviewed eight cases submitted to surgery between 2013 and 2015. We evaluated clinical characteristics that were analyzed, as were the operative technique employed, and angle range of the kyphosis deformity postcorrection follow-up.

Results

Neonatal kyphectomy was performed of six females and two males. The mean birth weight was 2780 g, and the mean age at the time of surgery was 5.6 days. There were S-shaped type deformity in lumbar region in all neonates. In the correction of the kyphotic deformity, a total vertebrae were removed from four patient, whereas a partial vertebrectomy was done in four. The mean operative time was 116 min. No patients did not require the blood transfusion. There were no serious complications, and wound closure was successful in all patients. The mean follow-up period was 4 years and 3 months (range 36–61 months), except one patient who died 1 week after discharge. The mean preoperative kyphosis of 75.6° (range, 50°-90°) improved at last follow-up to 35° (range 15°–55°). All patients had surgical procedures for hydrocephalus. Three patients had surgery for Chiari type II malformation. The mean hospital stay was 27.7 days.

Conclusion

Kyphectomy performed at the time of dural sac closure in the neonate is a safe procedure with excellent correction.

Keywords

Kyphectomy Meningomyelocele Neonate Neural tube defects Newborn 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Tepecik Research and Education Hospital, Deparment of NeurosurgeryHealth Sciences UniversityİzmirTurkey
  2. 2.Behçet Uz Children’s Hospital, Department of NeonatologyHealth Sciences UniversityİzmirTurkey
  3. 3.School of Medicine, Department of NeonatologyCelal Bayar UniversityManisaTurkey

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