title: Repair of a large thoracolumbar myelomeningocele with associated lumbar kyphosis.
abstract: This report describes a novel method of repair for a large thoracolumbar myelomeningocele with an associated lumbar kyphosis in the neonate. A Caucasian male child was born at term with an antenatal diagnosis of hydrocephalus and spina bifida. Lumbar spine X-ray showed a significant kyphosis at L2-L3 level. Kyphectomy was performed and a cervical plate was used to reduce the gibbus deformity and maintain a rigid construct. Local rotation flaps were elevated and advanced to cover the defect. Wound was well healed at 3-month follow-up and the patient remained shunt-free at 1 year. To our knowledge, this is the first description of myelomeningocele repair with kyphectomy and posterior fixation in a neonate.
authors.affiliation: Department of Paediatric Neurosurgery, Temple Street Children's University Hospital, Temple Street, Dublin 1, Ireland, johnduddy@gmail.com.
authors.forename: John C
authors.initials: JC
authors.lastname: Duddy
authors.forename: John
authors.initials: J
authors.lastname: Caird
authors.forename: Paul
authors.initials: P
authors.lastname: Connolly
mesh_terms: D001860:Bone Plates; D006801:Humans; D007231:Infant, Newborn; D007738:Kyphosis / Q000601:surgery*; D008161:Lumbosacral Region / Q000601:surgery*; D008297:Male; D008591:Meningomyelocele / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013904:Thoracic Vertebrae / Q000601:surgery*; D016896:Treatment Outcome