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Childs Nerv Syst. 2002 Nov;18(11):614-20. Epub 2002 Oct 11.

The significance of the percentage of the defect size in spina bifida cystica in determination of the surgical technique.

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  • 1Department of Neurosurgery, School of Medicine, Firat University, 23200 Elazig, Turkey. fozveren@firat.edu.tr

Abstract

AIM:

Our aim was to classify meningoceles and meningomyeloceles in terms of defect area as a percentage of the thoracolumbar region to make it possible to select the surgical technique accordingly.

MATERIALS AND METHODS:

Thirty-two cases were included in the study program. Any defect smaller than 8% of the thoracolumbar region was primarily sutured and classed as grade 1.

RESULTS:

The defects that it was not possible to handle with primary suture because of the broad base and thereby closed with muscle-skin flaps were those occupying more than 8% of the thoracolumbar region and these were classed as grade 2. It was not possible to perform primary repair of any defect occupying more than 8% of the thoracolumbar area.

CONCLUSION:

The use of combined latissimus dorsi+gluteus maximus muscle-skin flaps was found to be safe in broad-based meningomyelocele defects, as they provide wider closures and permanent bolstering of the meningomyelocele defect, thus protecting the region against multiple trauma.

[PubMed - indexed for MEDLINE]
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