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  • Title: [The study of spinal abnormalities associated with cloacal exstrophy].
    Author: Nakamizo S, Nagashima T, Kawamura A, Akiyama H, Yamamoto K, Sugita Y, Hisamatsu E, Nishijima E, Kohmura E.
    Journal: No Shinkei Geka; 2011 Jan; 39(1):37-43. PubMed ID: 21270477.
    Abstract:
    The treatment of spinal abnormalities with cloacal exstrophy is controversial. Ten cases of this complex treated at Hyogo Prefectural Kobe Children's Hospital between 1991 and 2010 are presented. In our series, all 10 patients had tethered spinal cords. In addition, there were 3 terminal myelocystoceles, 2 meningoceles, 7 lipomas, 5 thickened filums and 3 syrinxes. Eight of 10 patients underwent surgery, and no patient deteriorated. All 3 patients with terminal myelocystocele had lower extremity weakness, but motor functions in two patients improved after surgery. All 4 patients with lipoma and/or thickened filum were asymptomatic. Two of them were conservatively treated, and they remain asymptomatic. Terminal myelocystocele and symptomatic syrinx should be surgically treated.
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