Surgery for myelomeningocele spinal deformity is accompanied by a high rate of complications. These include infection, pathological skin breakage, instrumentation failure, and neurological deterioration. The four-rib construct associated with the percutaneous technique in immature children with myelomeningocele and spinal deformity is introduced. The four-rib construct serves to correct for def...

Myelomeningocele is usually complicated with intracranial infections such as meningitis and ventriculitis. Spontaneous pneumocephalus should be kept in mind as a rare complication of open meningomyelocele. Any patient with open meningomyelocele should be carefully evaluated for pneumocephalus with a cranial USG. This information is useful prognostically as well as has therapeutic implications.

Among 108 consecutive patients with myelomeningocele aged 5-12 years initially treated by a selective policy, seven (6.5%) achieved spontaneous urinary continence, five with normal micturition and two with urgency. All had positive conus reflexes and incomplete cord lesions which, with one exception, comprised motor as well as sensory sacral sparing.