title: The use of pelvic osteotomy in cloacal exstrophy.
abstract: Cloacal exstrophy is the most severe congenital malformation within the exstrophy spectrum. Its successful treatment requires a dedicated multidisciplinary exstrophy team that includes a pediatric orthopedic surgeon familiar with the exstrophy complex. In 1995, Ben-Chaim et al (J Urol 1995;154:865-7) reported an 89% complication rate in those cloacal exstrophy patients closed primarily without a pelvic osteotomy and a 17% complication rate in those closed with an osteotomy. Therefore, the use of pelvic osteotomy is a well-established method of obtaining a successful cloacal exstrophy closure. This article reviews the different options available for pelvic osteotomy and stabilization of the pubic symphysis in patients with cloacal exstrophy.
authors: Department of Paediatric Urology, Royal Manchester Children's Hospital, Manchester, UK. cervellione@doctors.org.uk
authors: Raimondo M
authors: RM
authors: Cervellione
mesh_terms: D001006:Anus, Imperforate / Q000601:surgery; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010384:Pelvic Bones / Q000002:abnormalities / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods; D012600:Scoliosis / Q000601:surgery; D014564:Urogenital Abnormalities / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*; D000099061:OEIS Complex