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October 13, 1951

TANTALUM MESH IN REPAIR OF CONGENITAL BONY DEFECTS OF SKULL AND SPINE

Author Affiliations

Hartford, Conn.

From the Neurosurgical Department, Hartford Hospital.

JAMA. 1951;147(7):639-640. doi:10.1001/jama.1951.73670240003006a
Abstract

Tantalum mesh is proposed for the plastic repair of the congenital defects of encephalocele, meningocele, and spina bifida. It has been used successfully in abdominal hernias without adverse tissue reaction.1 Stainless steel and silver wire mesh have both been proposed for the repair of post-traumatic cranial defects,2 and Reeves3 in his monograph on cranioplasty gives an excellent discussion of various metals used. No mention has yet been made of any metallic material for the repair of congenital defects.

REPORT OF CASES 

Case 1.—  T. W., a 9-yr.-old girl, was first admitted to Hartford Hospital in February, 1941, at 2 weeks of age, with a large mid-dorsal meningocele; traditional repair using "fascial shutters" was performed. Postoperative Staphylococcus meningitis developed, but the infant recovered. Mild and progressive neurological sequelae over the ensuing nine years consisted of clubfoot and mild spastic incoordinated gait, with a positive Babinski sign. When she

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