Myelomeningocele Scoliosis Wheeless

Description: Wheeless' Textbook of Orthopaedics
scoliosis in myelomenigocele may have a multifactorial etiology: - idiopathic causes; - myelomeningocele structural defect; - congenital defects - paralytic etiology; - 15-20% of children who have myelomeningocele have congenital vertebral abnormalities in addition to congenital scoliosis; - over-all incidence of scoliosis in pts who have thoracic-level lesion is 85%; - all children who are born with an osseous dysraphism at level of T12 or higher, are at risk for the development of a severe scoliotic deformity for which arthrodesis is needed; - progression of scoliosis in myelomeningocele is natural