title: Pelvic osteotomy for bladder exstrophy.
abstract: Twenty-five patients with bladder exstrophy underwent pelvic osteotomy at or before initial bladder closure and anterior abdominal repair. Ten patients underwent bilateral iliac osteotomies before 1977. An alternative procedure consisting of bilateral superior pubic ramotomies has been used in 15 patients since 1977. In all patients, successful tension-free closure of the abdomen was achieved. Long-term follow-up of these two groups of patients shows no difference in the degree of pubic diastasis, which was asymptomatic. Posterior iliac osteotomy requires two additional incisions, longer operative time, and postoperative immobilization. We therefore recommend bilateral superior pubic ramotomy as an alternative procedure in initial reconstruction of the anterior abdomen in patients with bladder exstrophy.
authors.affiliation: Division of Orthopedics and Rehabilitation, Oregon Health Sciences University, Portland 97201.
authors.forename: A H
authors.initials: AH
authors.lastname: Schmidt
authors.forename: T L
authors.initials: TL
authors.lastname: Keenen
authors.forename: E S
authors.initials: ES
authors.lastname: Tank
authors.forename: C B
authors.initials: CB
authors.lastname: Bird
authors.forename: R K
authors.initials: RK
authors.lastname: Beals
mesh_terms: D000293:Adolescent; D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery; D007223:Infant; D008297:Male; D010027:Osteotomy; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D011630:Pubic Bone / Q000601:surgery; D011859:Radiography; D001743:Urinary Bladder / Q000601:surgery*