Acta Ortopédica Mexicana

Cardoso-Monterrubio A, Orellana-Reta CA, Rosales-Muñoz ME
Patients with myelomeningocele and kyphosis managed with an ACM plate
Acta Ortop Mex 2005; 19 (s1)

Language: Inglés
References: 7
Page: 1-5
PDF: 74.91 Kb.

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ABSTRACT

Kyphosis, as a sequel of myelomeningocele, is a malformation that may result in many problems including ulcers; limited use of the arms for support purposes, and reduced pulmonary function, among others. Treatment is complex and demanding. Sharrad first described a technique for the surgical management of these patients in 1968. Since then many techniques have been described but none has been accepted as the treatment of choice for this disorder. In 1998 we started treating a group of patients by using an implant designed by Dr. Alfredo Cardoso Monterrubio, the ACM plate. This paper presents the initial report of a 15-patient group he treated for an average of 2.9 years with the Alfredo Cardoso Monterrubio (ACM) plate.


Key words: myelomeningocele, kyphosis, implant, children.


REFERENCES

  1. Mintz LJ, Sarwark JF, Dias LS, Schafer MF: The natural history of congenital kyphosis in myelomeningocele. Spine 1991; 16(8 Suppl): S348-S350.

  2. Heydemann JS, Gillespie R: Management of myelomeningocele kyphosis in the older child by kyphectomy and segmental spinal instrumentation. Spine 1987; 12(1): 37-41.

  3. Sharrard WJ: Spinal Osteotomy for congenital kyphosis in myelomeningocele. J Bone Joint Surg 1968; 50(3): 466-471.

  4. Christofersen MR, Brooks AL: Excision and wire fixation of rigid myelomeningocele kyphosis. J Pediatr Orthop 1985; 5(6): 691-696.

  5. Niall DM, Dowling FE, Fogarty EE, Moore DP, Goldberg C: Kyphectomy in childrens with myelomeningocele, a long-term outcome study. J Pediatr Orthop 2004; 24(1): 37-44.

  6. Torode I, Godette G: Surgical correction of congenital kyphosis in myelomeningocele. J Pediatr Orthop 1995; 15(2): 202-205.

  7. Banta JV: Combined anterior and posterior fusion for spinal deformity in myelomeningocele. Spine 1990; 15(9): 946-952.