{"id":786,"date":"2021-03-05T20:49:41","date_gmt":"2021-03-05T19:49:41","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=786"},"modified":"2021-03-05T20:49:41","modified_gmt":"2021-03-05T19:49:41","slug":"reparacion-de-mielomeningocele-gigante-dorsolumbar-mediante-colgajo-de-rotacion","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2021\/03\/05\/reparacion-de-mielomeningocele-gigante-dorsolumbar-mediante-colgajo-de-rotacion\/","title":{"rendered":"Reparaci\u00f3n de mielomeningocele gigante dorsolumbar mediante colgajo de rotaci\u00f3n"},"content":{"rendered":"

El mielomeningocele con una incidencia de 1-2 casos por cada 1000 nacidos vivos representa la causa m\u00e1s com\u00fan de espina b\u00edfida abierta. Constituye una patolog\u00eda compleja que frecuentemente asocia otras malformaciones a nivel del sistema nervioso central como la hidrocefalia y la malformaci\u00f3n e Chiari II o fuera del mismo (cardiopat\u00edas).<\/p>\n\n\n\n

Repair of the myelomeningocele should be carried out within 24-48 hours of birth. In most cases the closure of the placode or neural tube can be accompanied by direct skin closure because the skin defects are usually small. However, there are cases where the presence of the skin defect may be greater, requiring the use of advanced reconstruction techniques such as rotational flaps or skin grafts.<\/p>\n\n\n\n

Recientemente ha sido publicado en la revista Child\u00b4s Nervous System<\/a> nuestra experiencia con un caso de mielomeningocele gigante a nivel dorsolumbar. En este caso exist\u00eda un defecto cut\u00e1neo de 12\u00d712 cm que fue intervenido el d\u00eda del nacimiento. Se llev\u00f3 a cabo el cierre del mismo mediante un colgajo de rotaci\u00f3n de m\u00fasculo gl\u00fateo y dorsal ancho acompa\u00f1ado de un colgajo cut\u00e1neo tipo O-S.<\/p>\n\n\n\n

Por medio de esta intervenci\u00f3n se logr\u00f3 el cierre completo conservando la funci\u00f3n neurol\u00f3gica previa. El paciente llev\u00f3 a cabo posteriormente un programa de Rehabilitaci\u00f3n espec\u00edfico gracias al cual tuvo lugar la recuperaci\u00f3n parcial de la movilidad en miembros inferiores.<\/p>\n\n\n\n

Fuente:<\/strong> Gomar-Alba M, Vargas-L\u00f3pez AJ, Narro-Donate JM, Castell\u00f3-Ruiz MJ, Garc\u00eda-P\u00e9rez F, Masegosa-Gonz\u00e1lez J. Rotation flap closure of a giant dorsolumbar myelomeningocele: technical note. Childs Nerv Syst. 2021 Jan 16.<\/a><\/p>","protected":false},"excerpt":{"rendered":"

El mielomeningocele con una incidencia de 1-2 casos por cada 1000 nacidos vivos representa la causa m\u00e1s com\u00fan de espina b\u00edfida abierta. Constituye una patolog\u00eda compleja que frecuentemente asocia otras malformaciones a nivel del sistema nervioso central como la hidrocefalia y la malformaci\u00f3n e Chiari II o fuera del mismo (cardiopat\u00edas). Debe llevarse a cabo…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700518,706700521,706700514,706700517],"tags":[],"class_list":["post-786","post","type-post","status-publish","format-standard","hentry","category-almeria","category-cirugia-de-columna","category-futurismo","category-neurocirugia","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-cG","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=786"}],"version-history":[{"count":1,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/786\/revisions"}],"predecessor-version":[{"id":787,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/786\/revisions\/787"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}