Purpose

Myelomeningocele (MMC) is the most prevalent form of spina bifida aperta. Here we present the surgical repair technique of a dorsolumbar myelomeningocele with a large associated soft tissue defect.

Methods

Data concerning the anamnesis and complementary studies were obtained from the clinical history. Surgical images were obtained in the operation room during surgery.

Result

We describe the case of a newborn with a dorsal myelomeningocele with a placode in the central area and a large associated skin defect of 12 x× 12 cm. Urgent intervention was carried out on the day of birth with placode reconstruction. Dorsal and gluteus maximus muscle rotation and skin rotation flap were performed in order to achieve complete closure of the myocutaneous defect. The patient presented a good recovery with no new neurological deficit.

Conclusion

Myelomeningocele may be associated with large myocutaneous defects that can be difficult to correct by primary closure. In these cases, rotation flaps may be necessary to achieve complete closure.

中文翻译：

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巨大的背阔肌髓鞘膨出的旋转瓣闭合：技术说明

目的

脊髓膜腔积液（MMC）是脊柱裂的最普遍形式。在这里，我们介绍了与大的相关软组织缺损的背阔肌脊髓膜膨出的手术修复技术。

方法

有关病史和补充研究的数据均来自临床史。在手术期间在手术室中获得手术图像。

结果

我们描述了一个新生儿的病例，该患儿的背侧脊髓膜鞘膜膨出在中心区域有斑块，并且伴有较大的皮肤缺损12 x×12 cm。出生当天进行了紧急干预，并进行了平台重建。进行背侧和臀大肌旋转和皮肤旋转皮瓣，以完全闭合肌皮缺损。病人恢复良好，没有新的神经系统缺陷。

结论

脊髓膜囊膨出症可能与较大的皮肤皮肤缺损有关，可能难以通过初次闭合来纠正。在这些情况下，可能需要旋转挡板才能完全关闭。