Abstract
Introduction Complication rates in spinal fusion for treatment of kyphoscoliosis in myelomeningocele patients are high. Spinal cord transection in combination with fusion can be an appropriate strategy in selected patients, but changes in CSF dynamics that may accompany ligation of distal CSF circulation are not well characterized. We conducted a retrospective review of cases at a single institution from 1998 to 2005. We report our surgical experience, complications, and insight in nine myelomeningocele children with kyphoscoliosis treated with combined spinal cord transection and spinal fusion. Methods Demographic, clinical, and radiological data were examined in nine children with myelomeningocele at or above T-12 and no residual urological function. Patients underwent spinal cord detethering and transection and multilevel spinal fusion. Seven children underwent kyphectomy with posterior fusion only for severe gibbus deformities, while two had anterior and posterior fusions for severe kyphoscoliosis. Re...
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