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Case Reports
. 2016 Dec 27:16:ic51.
eCollection 2016.

Management of Lumbosacral Myelomeningocele

Peter M DeJong  1 , Nicholas S Adams  2 , Robert J Mann  3 , John W Polley  3 , John A Girotto  3
Affiliations
Case Reports

Management of Lumbosacral Myelomeningocele

Peter M DeJong et al. Eplasty. .
No abstract available

Keywords: fascial flap; myelomeningocele; neural tube defect; paraspinal fascial turnover flap; spina bifida.

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Figures

Figure 1
Figure 1
(a, b) Preoperative posterior and lateral photographs demonstrating the lumbosacral myelomeningocele prior to neurosurgical repair and soft-tissue coverage.
Figure 2
Figure 2
Neural tube closure. Neural tube closure progressing in a zipper-like fashion starting centrally and moving cranial and caudal (left and center). Failure of caudal neuropore closure results in myelomeningocele (right).
Figure 3
Figure 3
(a, b) Intraoperative paraspinal turnover flap technique and skin closure. The fascial closure technique (a) adds structural support to the neurosurgical repair, decreasing the risk of cerebrospinal fluid leak and infection. Three-sided skin closure (b) was formed without removal of redundant tissue.
Figure 4
Figure 4
Postoperative photograph taken 2 months following closure.
See this image and copyright information in PMC

References

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