Early Surgical Complications of Spina Bifida

  • M. MemetÖzek


In our daily practice, most myelomeningoceles are closed within 48 hours of birth. In case of an unstable child, closure may be safely de layed for up to 72 hours without an increase in complications [1, 2, 3]. Early postoperative mortality for myelomeningocele repair is near zero; however, the morbidity due to complications of the repair can be significant [2, 4, 5, 6, 7, 8]. These complications may affect the patient’s quality of life and are usually due to faulty techniques that are by and large preventable.


Spina Bifida Suture Line Menin Gocele Pediatric Neurosurgery Back Wound 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    McLone DG (1998) Care of the neonate with a meningomyelocele. Neurosurg Clin N Am 9:111–120PubMedGoogle Scholar
  2. 2.
    Pang D (1995) Surgical complications of open spinal dysraphism. Neurosurg Clin N Am 6:243–257PubMedGoogle Scholar
  3. 3.
    Sutton L (2005) Spinal dysraphism. In: Rengachary SS, Ellenbogen RG (eds) Principles of neurosurgery. Elsevier Mosby, Edinburgh, pp 99–115Google Scholar
  4. 4.
    Cohen AR, Robinson S (2001) Early management of myelomeningocele. In: McLone D (ed) Pediatric neurosurgery. WB Saunders Company, Philadelphia, London, New York, pp 241–259Google Scholar
  5. 5.
    Hahn YS (1995) Open meningomyelocele. Neurosurg Clin N Am 6:231–241PubMedGoogle Scholar
  6. 6.
    McLone OC, Dias MS (1991–92) Complications of myelo meningocele closure. Pediatr Neurosurg 17:267–293PubMedCrossRefGoogle Scholar
  7. 7.
    Mirzai H, Ersahin Y, Mutluer S et al (1998) Outcome of patients with meningomyelocele. Childs Nerv Syst 14:120–123PubMedCrossRefGoogle Scholar
  8. 8.
    Gross HR, Cox A, Tatyrek R et al (1983) Early management and decision making for the treatment of meningomyelocele. Pediatrics 72:450–458PubMedGoogle Scholar
  9. 9.
    Cohen AR, Robinson S (2001) Early management of meningomyelocele. In: McLone DG (ed) Pediatric neurosurgery. Surgery of the developing nervous system. WB Saunders Company, Philadelphia, pp 241–259Google Scholar
  10. 10.
    Babuccu O, Kalayc M, Peksoy I et al (2004) Effect of cerebrospinal fluid leakage on wound healing in flap surgery: Histological evaluation. Pediatr Neurosurg 40:101–106PubMedCrossRefGoogle Scholar
  11. 11.
    McLone D (1980) Technique for closure of myelo — menin gocele. Childs Brain 6:65–73PubMedCrossRefGoogle Scholar
  12. 12.
    Ramasastry SS, Cohen M (1995) Soft tissue closure and plastic surgical aspects of large open myelo — meningoceles. Neurosurg Clin N Am 6:279–291PubMedGoogle Scholar
  13. 13.
    Hoppenfeld S (1967) Congenital kyphosis in meningo — myelocele. J Bone Joint Surg Br 49:276–280PubMedGoogle Scholar
  14. 14.
    Dias MS, McLone DG (2008) Meningomyelocele. In: Albright AL, Pollack IF, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 338–366Google Scholar
  15. 15.
    McLone D (1983) Results of treatment of children born with a myelomeningocele. Clin Neurosurg 30:407–412PubMedGoogle Scholar
  16. 16.
    Reigel DH, McLone DG (1988) Meningomyelocele. Operative treatment and results. In: Marlin AE (ed) Concepts in pediatric neurosurgery, Vol 8. Karger, Basel, pp 41–50Google Scholar
  17. 17.
    Parent AD, McMillan T (1995) Contemporaneous shunting with repair of meningomyelocele. Pediatr Neurosurg 22:132–135PubMedCrossRefGoogle Scholar
  18. 18.
    Epstein F (1983) Meningomyelocele: “pitfalls” in early and late management. Clin Neurosurg 30:366–384PubMedGoogle Scholar
  19. 19.
    Wakhlu A, Ansari NA (2004) The prediction of postoperative hydrocephalus in patients with spina bifida. Childs Nerv Syst 20(2):104–106PubMedCrossRefGoogle Scholar
  20. 20.
    Gamache F (1995) Treatment of hydrocephalus in patients with myelomeningocele or encephalocele: A recent series. Childs Nerv System 11:487–488CrossRefGoogle Scholar
  21. 21.
    Mazolla C, Albright AL, Sutton L et al (2002) Dermoid inclusion cysts and early spinal cord tethering after fetal surgery for meningomyelocele. N Eng J Med 347:256–259CrossRefGoogle Scholar
  22. 22.
    Donn SM, Baker FC (2006) Thoracic airleaks. In: Donn SM, Sinha SK (eds) Manual of neonatal respiratory care. Mosby Elsevier, Philadelphia, pp 445–451Google Scholar
  23. 23.
    Cabatu EE, Brown EG (1979) Thoracic transillumination: Aid in the diagnosis and treatment of pneumopericardium. Pediatrics 64:958–960PubMedGoogle Scholar
  24. 24.
    Donn SM, Engmann C (2003) Neonatal resuscitation: Special procedures. In: Donn SM (ed) The Michigan manual of neonatal intensive care. Hanley & Belfus,Philadelphia, pp 33–41Google Scholar
  25. 25.
    Hunt MN (2006) The acute abdomen in the newborn. Seminars in fetal and neonatal medicine 11:191–197PubMedCrossRefGoogle Scholar
  26. 26.
    Newell SJ (2005) Gastrointestinal disorders. In: Rennie JM (ed) Roberton’s textbook of neonatology. Elsevier-Churchill-Livingstone, Philadelphia, pp 692-710Google Scholar
  27. 27.
    Beeby PJ, Jeffrey H (1992) Risk factors for necrotizing enterocolitis. Arch Dis Child 67:432–435PubMedCrossRefGoogle Scholar
  28. 28.
    Lawrence G, Bates J, Gaul A (1982) Pathogenesis of neonatal necrotizing enterocolitis. Lancet 1:137–139PubMedCrossRefGoogle Scholar
  29. 29.
    Srinivasan P, Burdjalov V (2005) Necrotizing enterocolitis. In: Spitzer AR (ed) Intensive care of the fetus and neonate. Elsevier Mosby, Philadelphia, pp 1027–1045Google Scholar
  30. 30.
    Pokorni WJ, Garcia JA, Barry YN (1986) Necrotizing enterocolitis: incidence, operative care, and outcome. J Pediatr Surg 21:1149–1154CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • M. MemetÖzek
    • 1
    • 2
  1. 1.Division of Pediatric NeurosurgeryMarmara University Medical CenterIstanbulTurkey
  2. 2.Department of NeurosurgeryAcibadem University School of MedicineIstanbulTurkey

Personalised recommendations