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J Pediatr Orthop B. 2019 May;28(3):207-213. doi: 10.1097/BPB.0000000000000614.

Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates.

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Departments of Orthopaedics and Traumatology.
University of Cassino and Southern Lazio, Cassino, Italy.
Medical and Surgical Neonatology.
Urology and Robotic Surgery, Bambino Gesù Children's Hospital, Institute of Scientific Research, Rome.


Bladder exstrophy is a congenital and rare malformation of the lower abdominal wall with exposure of the bladder mucosa to the external environment, and it is related to pelvis abnormalities. Eighteen patients with bladder exstrophy were treated with bilateral oblique pelvic osteotomy in conjunction with urologic reconstruction after they were stabilized by cast. No failure of midline closure was observed (wound dehiscence or recurrence of bladder exstrophy). Follow-up showed no leg length discrepancy or problems in walking. Bilateral oblique pelvic osteotomy is a safe procedure to treat bladder exstrophy, and it results in good orthopedic and urological function.

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