40-223
Estudio a medio y largo plazo del efecto de la osteotomía pélvica de cierre en pacientes afectos de extrofia vesical
Effect of pelvic osteotomy in patients treated for bladder exstrophy. A medium and long term follow-up study
MJ. CABALLERO BURBANO* , J. GIL ALBAROVA*, J. GRACIA ROMERO**, J. BREGANTE BAQUERO* *SERVICIO DE C.O.T. *SERVICIO DE CIRUGÍA PEDIÁTRICA. HOSPITAL UNIVERSITARIO MIGUEL SERVET.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
49
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Resumen (ES)
The authors evaluated, clinically and radiographically,
6 patients with bladder exstrophy treated between 1979
and 2005. All had been treated at birth with bilateral iliac osteotomies
and pelvic rami reapproximation to assist in urologic
repair. At skeletal maturity, the pubic diastasis remains with
mild acetabular dysplasia. Despite these findings, most did
not affect function. These results support the absence of
functional orthopadic sequelae when pelvic reconstruction
for urologic repair is performed in bladder exstrophy after a
long follow up. However, pelvic osteotomies should be consider
as a resort and not an objective of treatment in this developmental
defect.
6 patients with bladder exstrophy treated between 1979
and 2005. All had been treated at birth with bilateral iliac osteotomies
and pelvic rami reapproximation to assist in urologic
repair. At skeletal maturity, the pubic diastasis remains with
mild acetabular dysplasia. Despite these findings, most did
not affect function. These results support the absence of
functional orthopadic sequelae when pelvic reconstruction
for urologic repair is performed in bladder exstrophy after a
long follow up. However, pelvic osteotomies should be consider
as a resort and not an objective of treatment in this developmental
defect.
Palabras clave (ES):
vejiga
Pelvis
Osteotomia
Pélvica
Extrofia
vesical
Malformación
congénita
Pubis
Resumen (EN)
The authors evaluated, clinically and radiographically,
6 patients with bladder exstrophy treated between 1979
and 2005. All had been treated at birth with bilateral iliac osteotomies
and pelvic rami reapproximation to assist in urologic
repair. At skeletal maturity, the pubic diastasis remains with
mild acetabular dysplasia. Despite these findings, most did
not affect function. These results support the absence of
functional orthopadic sequelae when pelvic reconstruction
for urologic repair is performed in bladder exstrophy after a
long follow up. However, pelvic osteotomies should be consider
as a resort and not an objective of treatment in this developmental
defect.
6 patients with bladder exstrophy treated between 1979
and 2005. All had been treated at birth with bilateral iliac osteotomies
and pelvic rami reapproximation to assist in urologic
repair. At skeletal maturity, the pubic diastasis remains with
mild acetabular dysplasia. Despite these findings, most did
not affect function. These results support the absence of
functional orthopadic sequelae when pelvic reconstruction
for urologic repair is performed in bladder exstrophy after a
long follow up. However, pelvic osteotomies should be consider
as a resort and not an objective of treatment in this developmental
defect.
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