title: Double myelomeningocele: case report and review.
abstract: The presence of a myelomeningocele at multiple levels along the spinal column is a rare event. There are only a few cases of double myelomeningocele reported in the world's literature. Large myelomeningoceles present surgical closure challenges due to the size and location of these defects. We report the case of a newborn female who had two myelomeningoceles with one at the thoracic level and the other at the lumbar level. Surgical closure must provide durable and stable coverage for the spinal cord. Stable coverage was provided for this patient using bilateral paraspinous myofascial turnover flaps. This unusual case report as well as a review of the literature is presented.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA.
authors.forename: Todd A
authors.initials: TA
authors.lastname: Richards
authors.forename: Bill G
authors.initials: BG
authors.lastname: Kortesis
authors.forename: Steven
authors.initials: S
authors.lastname: Glazier
authors.forename: Louis C
authors.initials: LC
authors.lastname: Argenta
authors.forename: Lisa R
authors.initials: LR
authors.lastname: David
mesh_terms: D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008161:Lumbosacral Region; D008591:Meningomyelocele / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome