Dị tật bẩm sinh cột sống ở trẻ em

Tiến sĩ Guille là Bác sĩ phẫu thuật chỉnh hình, Bệnh viện Nhi Shriners, Philadelphia, PA. Tiến sĩ Sarwark là Chủ tịch, Sở Phẫu thuật chỉnh hình, Bệnh viện trẻ em Memorial, Chicago, IL, và giáo sư phẫu thuật chỉnh hình, Đại học Northwestern Feinberg School of Medicine, Chicago. Tiến sĩ Sherk là Giáo sư | Congenital and Developmental Deformities of the Spine in Children With Myelomeningocele James T. Guille MD John F Sarwark MD Henry H. Sherk MD S. Jay Kumar MD Dr. Guille is Orthopaedic Surgeon Shriners Hospital for Children Philadelphia PA. Dr. Sarwark is Chairman Department of Orthopaedic Surgery The Children s Memorial Hospital Chicago IL and Professor of Orthopaedic Surgery Northwestern University Feinberg School of Medicine Chicago. Dr. Sherk is Professor Department of Orthopaedic Surgery Drexel University College of Medicine Philadelphia. Dr. Kumar is Director Spinal Dysfunction Clinic Alfred I. duPont Hospital for Children Wilmington DE and Clinical Professor of Orthopaedic Surgery Jefferson Medical College of Thomas Jefferson University Philadelphia. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Guille Dr. Sarwark Dr. Sherk and Dr. Kumar. Reprint requests Dr. Guille Shriners Hospital for Children 3551 North Broad Street Philadelphia PA 19140. J Am Acad Orthop Surg 2006 14 294-302 Copyright 2006 by the American Academy of Orthopaedic Surgeons. Abstract The treatment of spinal deformities in children with myelomeningocele poses a formidable task. Multiple medical comorbidities such as insensate skin and chronic urinary tract infection make care of the spine difficult. A thorough understanding of the natural history of these deformities is mandatory for appropriate treatment to be rendered. A team approach that includes physicians from multiple specialties provides the best care for these patients. The two most challenging problems are paralytic scoliosis and rigid lumbar kyphosis. The precise indications for surgical intervention are multifactorial and the proposed benefits must be weighed against the potential risks. Newer spinal constructs now allow for fixation of the .