[Salter pelvic osteotomy in operative treatment in patients with bladder extrophy].
BACKGROUND
Bladder extrophy malformation includes outward rotation of the innominate bones, pubic symphysis diastasis and acetabular retrovertion. We have corrected the pelvic deformation during the reconstruction of the bladder neck and the urethra in older children.


METHODS
From 1/01/2002 to 1/01/2006 in the Department of Pediatric Urology and the Department of Pediatric Orthopedics in Katowice 4 children were operated on for bladder extrophy. The age of the patients ranged from 2.3 to 4.1 years; an average of 3.6 years. In the patients with bladder extrophy we performed the urological reconstruction and simultaneously the bilateral Salter's osteotomy was done.


RESULTS
The follow up was 52 months (48-84).The consolidation of the osteotomy was obtained in all patients after 62 days (48-72) with the correction of the retroversion of the hips and symphysis to 2.4 cm (0.9-5.8).


CONCLUSIONS
The innominate Salter's osteotomy is helpful in the bladder neck reconstruction and allows to achieve the proper anatomy of the pelvic ring.
Tomaszewski
Ryszard
R
Górnoslaskie Centrum Zdrowia Dziecka, Klinika Chirurgii Dziecicej, Oddział Urazowo-Ortopedyczny. tomaszewski_r@poczta.onet.pl
Pethe
Karol
K
Koszutski
Tomasz
T
D001746:Bladder Exstrophy / Q000601:surgery*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007085:Ilium / Q000002:abnormalities / Q000601:surgery; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010384:Pelvic Bones / Q000002:abnormalities / Q000601:surgery*; D011044:Poland; D011631:Pubic Symphysis / Q000002:abnormalities / Q000601:surgery*; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods