Spinal Dysraphism (Subscribe)  

This article presents a radiologic review of the spectrum of acquired and congenital orthopedic abnormalities found in patients with myelomeningocele. These abnormalities are caused predominantly by muscle imbalance, paralysis, and decreased sensation in the lower extremity. Iatrogenic injury, such as a postoperative tethered cord, may also cause bone abnormalities. Selected...

User and Orthotist Perspectives Adrian A. Polliack, PhD Sarah Elliot Samuel E. Landsberger, ScD Donald R. McNeal, PhD Carin Caves, BS, CO JPO 2001 Vol. 13, Num. 4 pp. 123-129
Although there are a host of positive benefits to using orthoses during childhood, the two major reasons are to improve independent function and prevent deformities. 1-4 The...

Goals of orthopaedic management are

• Straight spine, legs and feet
• Mobile hips
• Pull-to or swing through gait
• Maximum possible sefl sufficiency

West J Med 121:281-291 1974

Core Curriculum
Objectives
1. Define myelodysplasia, and list two separate clinical presentations of myelodysplasia
2. Describe the relationship of myelomeningocele with anencephaly
3. Describe the range of clinical severity in patients with myelomeningocele
4. Discuss the relationship of orthopaedic problems accompanying myelomeningocele...

Author: Kat Kolaski, MD, Assistant Professor, Departments of Orthopedics and Pediatrics, Wake Forest University School of Medicine
Myelomeningocele is a complex congenital spinal anomaly that causes varying degrees of spinal cord malformation, or myelodysplasia. It is commonly referred to as spina bifida and is classified as a defect of the neural...

scoliosis in myelomenigocele may have a multifactorial etiology:
- idiopathic causes;
- myelomeningocele structural defect;
- congenital...

JBJS A 1990 72: 626-630 Beaty & Canale (full text)

- Discussion of Myelodysplasia
- Spinal Deformities
- Lower Extremity
- hip in myelomeningocele:
- fractures:
- myelodysplastic knee:
- foot deformities in myelomeningocele:

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("spina bifida"[All Fields] OR (("meningomyelocele"[TIAB] NOT Medline[SB]) OR "meningomyelocele"[MeSH Terms] OR myelomeningocele[Text Word]) OR (("myelodysplastic syndromes"[TIAB] NOT Medline[SB]) OR "myelodysplastic syndromes"[MeSH Terms] OR myelodysplasia[Text Word]) OR "spinal dysraphism"[All Fields]) AND ("BMC Musculoskelet Disord"[Journal] OR "Bull Hosp Jt...

Health Education using Low-cost Publications
Currently the publications in this category are in Turkish

- Spina Bifida refers to a local failure of primordia of the two laminae to unite leaves vertebral canal open dorsally (spinal rachischisis, or spina bifida);
- dorsal body wall may or may not be intact...

Spinal dysraphism can be classified as closed forms or open forms, which include myelocele, meningocele, and myelomeningocele. These open forms are often associated with hydrocephalus and Arnold-Chiari malformation type II and may be classified as spina bifida aperta. Von Recklinghausen (1886) gave a detailed account of spina bifida cystica (aperta)....

We report the results of a prospective study of the surgical release of 45 knee flexion contractures in 28 patients with myelomeningocele... We conclude that surgical release of knee flexion contractures in myelomeningocele improves gait in all children who walk, particularly those with low lumbar lesions. Recurrence of knee flexion...

Myelomeningocele is the most complex congenital multi-system disorder, which affects not only the central nervous system, but the kidneys and bowel, as well as the musculoskeletal system.
Journal of Prosthetics & Orthotics 1990 Vol. 2, Num. 4 pp. 263-273

Medscape News 2001: Hairy Patches and Twisted Feet: What's New in Pediatrics?
Carl St. Remy, MD Introduction What's new in pediatric orthopaedic diagnostics and treatment techniques? New research on the use of ultrasonographic screening for spinal dysraphism, nonsurgical management of clubfoot deformity, and off-label use of pamidronate for the treatment...