Double myelomeningocele: case report and review

The presence of a myelomeningocele at multiple levels along the spinal column is a rare event. There are only a few cases of double myelomeningocele reported in the world's literature. Large myelomeningoceles present surgical closure challenges due to the size and location of these defects. We...

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Bibliographic Details
Published in:British journal of plastic surgery 2003-04, Vol.56 (3), p.306-308
Main Authors: RICHARDS, Todd A, KORTESIS, Bill G, GLAZIER, Steven, ARGENTA, Louis C, DAVID, Lisa R
Format: Article
Language:English
Subjects:
Biological and medical sciences
Female
Humans
Infant, Newborn
Lumbosacral Region
Medical sciences
Meningomyelocele - pathology
Meningomyelocele - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
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Summary:The presence of a myelomeningocele at multiple levels along the spinal column is a rare event. There are only a few cases of double myelomeningocele reported in the world's literature. Large myelomeningoceles present surgical closure challenges due to the size and location of these defects. We report the case of a newborn female who had two myelomeningoceles with one at the thoracic level and the other at the lumbar level. Surgical closure must provide durable and stable coverage for the spinal cord. Stable coverage was provided for this patient using bilateral paraspinous myofascial turnover flaps. This unusual case report as well as a review of the literature is presented.
ISSN:0007-1226
1465-3087
DOI:10.1016/S0007-1226(03)00121-8