Orthopedic management of myelomeningocele with a multidisciplinary approach: a systematic review of the literature
Autor: | Amirali Karimi, Parnian Shobeiri, Mohammad Hossein Nabian, Sara Momtazmanesh, Ana Presedo, Fardis Vosoughi |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Meningomyelocele Scoliosis Diseases of the musculoskeletal system law.invention Disease severity Randomized controlled trial Interdisciplinary law Multidisciplinary approach medicine Humans Orthopedics and Sports Medicine Orthopedic surgery Spina bifida business.industry General surgery Communication Spinal dysraphism medicine.disease Orthopedics RC925-935 Surgery Systematic Review Complication business RD701-811 Healthcare system |
Zdroj: | Journal of Orthopaedic Surgery and Research, Vol 16, Iss 1, Pp 1-18 (2021) Journal of Orthopaedic Surgery and Research |
Popis: | BackgroundMyelomeningocele (MMC) is the most common and severe form of spina bifida and imposes a significant burden on patients and the healthcare system. Recently, the multidisciplinary management of MMC has become popular. Herein, we aimed to review the orthopedic management, outcomes, and complications of the of patients with MMC eyeing a multidisciplinary approach.MethodsWe searched PubMed and EMBASE to find relevant studies published before August 2020. All studies that included clinical management of MMC patients and published earlier than 2000 were considered for review on the condition that they reported at least one orthopedic intervention and the rate of complications. We excluded review articles, case reports, case series, letters, commentaries, editorials, and conference abstracts. The primary and secondary goals of our review were to report the outcomes and complication rates of multidisciplinary management for MMC patients.ResultsTwenty-six studies included data for the management of 229,791 patients with MMC and were selected. Sixteen studies reported multidisciplinary management in addition to orthopedic management. From those, 11 (42.31%) included urologic management, 13 (50%) neurosurgical management, 11 (42.31%) neurologic management, and 5 (19.23%) gastrointestinal management. All studies included postnatal operations and related management. No randomized clinical trial was found in our search.ConclusionOrthopedic approaches play a key role in MMC management by alleviating spinal deformities, particularly scoliosis, and hip, foot, and ankle complications. However, the most appropriate management, whether surgical or non-surgical, may vary for different patients, given disease severity and the age of patients.Graphical abstract |
Databáze: | OpenAIRE |
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