Study finds, Orthopedic management of Myelomeningocele with
Researchers aimed to review the orthopedic management, outcomes, and complications of the of patients with MMC eyeing a multidisciplinary approach. Myelomeningocele (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.

All studies that included clinical management of MMC patients were considered for review on the condition that they reported at least one orthopedic intervention and the rate of complications. The primary and secondary goals of the review were to report the outcomes and complication rates of multidisciplinary management for MMC patients.

Results:
--26 studies included data for the management of 229,791 patients with MMC and were selected.

--16 studies reported multidisciplinary management in addition to orthopedic management. From those, 11 included urologic management, 13 neurosurgical management, 11 neurologic management, and 5 gastrointestinal management. All studies included postnatal operations and related management. No randomized clinical trial was found in our search.

Finally, orthopedic techniques can help with MMC management by reducing spinal abnormalities, including scoliosis, as well as hip, foot, and ankle issues. However, depending on the severity of the condition and the patient's age, the most recommended care, whether surgical or non-surgical, may change for various patients.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02643-8
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