title: [The study of spinal abnormalities associated with cloacal exstrophy].
abstract: The treatment of spinal abnormalities with cloacal exstrophy is controversial. Ten cases of this complex treated at Hyogo Prefectural Kobe Children's Hospital between 1991 and 2010 are presented. In our series, all 10 patients had tethered spinal cords. In addition, there were 3 terminal myelocystoceles, 2 meningoceles, 7 lipomas, 5 thickened filums and 3 syrinxes. Eight of 10 patients underwent surgery, and no patient deteriorated. All 3 patients with terminal myelocystocele had lower extremity weakness, but motor functions in two patients improved after surgery. All 4 patients with lipoma and/or thickened filum were asymptomatic. Two of them were conservatively treated, and they remain asymptomatic. Terminal myelocystocele and symptomatic syrinx should be surgically treated.
authors.affiliation: Department of Neurosurgery, Hyogo Prefectural Kobe Children's Hospital, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakamizo
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nagashima
authors.forename: Atsufumi
authors.initials: A
authors.lastname: Kawamura
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Akiyama
authors.forename: Kazuki
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Sugita
authors.forename: Eiji
authors.initials: E
authors.lastname: Hisamatsu
authors.forename: Eiji
authors.initials: E
authors.lastname: Nishijima
authors.forename: Eiji
authors.initials: E
authors.lastname: Kohmura
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery; D001746:Bladder Exstrophy / Q000150:complications* / Q000601:surgery; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008067:Lipoma / Q000150:complications / Q000601:surgery; D008297:Male; D008588:Meningocele / Q000150:complications / Q000601:surgery; D008591:Meningomyelocele / Q000150:complications; D013116:Spinal Cord / Q000002:abnormalities* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000601:surgery