Abstract

MYELOMENINGOCELE A COMPARISON THE POST OPERATIVE COMPLICATIONS B/W INFANTS WITH PARAPLEGIA AND THESE WITH VARIABLE DEGREE OF LOWER LIMBSWEAKNESS ASTUDY OF 100 CASES 2013

Dr. Ali Kahtan Aziz* and Dr. Khalid Ali Hassan

ABSTRACT

BACKGROUND: Myelomeningocele is a complex malformation of spinal cord, nerves roots, meninges, vertebral body and skin .this neural tube defect is common congenital anomaly and is typically referred to as spina bifida. This condition result from failure of neural tube to close in developing fetus. Medical, surgical and rehabilitation issues arise in the patients with MMC. Aim of this study: was to determine the deference between the post operative complications in infants with paraplegia and these of variable degree of weakness and some aspects of the epidemiology of MMC in our country among. admission at Al Kademia teaching hospital and neurosurgical hospital in Baghdad. Patient and method: A prospective study on 100 cases of MMC that were admitted into Al Kadymia and neurosurgical teaching hospitals in Baghdad during the period September 2012 thruogh September 2013.Data collected for infants and mothers. Results: female predominance (female:male is 2.3:1). All of infants of socioeconomic poor families. Fifty nine of infants of consanguineous marriage 41% of non consanguineous marriage .Regarding the site commonest site was lumar spine 50%. Postoperative complications: Infection was common in nonmoving infants 30%. CSF leak common in nonmoving 20%. Postop. Ilius in 30% and neurological deterioration common in nonmoving infants 40%. Primary HCP occure in 69% while Secondary HCP in78%. Post op.meningitis complicated 25% of cases the majority in nonmoving 88%. Conclusion and Recommendation: The incidence of MMC appeare to be non-declining in Iraq, complications more common in paraplegic infants. multidisciplinary team is required and minimal invasive surgical techniques are required.

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