English

Como Lo Hago Yo: Anomal?as del Tubo Neural en Guatemala -- Mielomeningocele Unidad de Espina B?fida e Hidrocefalia.

This article is from Surgical Neurology International , volume 5 . Abstract In Guatemala about 786 children are born each year with Neural Tube Defects. At our unit we operate 65 to 70 children with myelomeningocele. We have a multidisciplinary team. We recommend delivery through cesarean section. Preoperative infection is our major problem. Delayed referral is common. Dissection of placode is standard. Suture the edges of placode to resemble shape of normal cord. We perform corpectomy in cases of severe kyphosis. Hydrocephalus: We shunt 80% of the patients. Chiari II: We operate based on symptoms, first we make sure that the shunt is working, then cervical decompression. Tethered cord: We operate if observe that symptoms are progressing.

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