September 1973

Modern Management of Myelomeningocele.

Author Affiliations



By Wilton H Bunch, MD, PhD; Alexander S Cass, MB, BS, FRCS; Alan S Bensmen, MD; Donlin M Long, MD, PhD. Price, $15. Pp 251. Warren H Green, Inc, 10 S Brentwood Blvd, St. Louis 63105, 1972.

Arch Surg. 1973;107(3):494. doi:10.1001/archsurg.1973.01350210118039

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In the past several years, the resurgence of interest and the development of a multiple disciplinary approach in the treatment of children with myelomeningocele makes this compact and adequately illustrated book timely. Its joint authorship by an orthopedic surgeon, urological surgeon, neurological surgeon, and psychiatrists, emphasizes the need for a medical team.

The topic is discussed from these various points of view. Bibliography is good in most cases.

The neurosurgical chapter deals not only with the treatment of the myelomeningocele but also the rationale and techniques for treatment of the concomitant hydrocephalus and gives descriptions of the other congenital anomalies of the spinal canal that can commonly occur with or without myelomeningocele. Some neurosurgeons may disagree with the use of silver nitrate on myelomeningocele sacs and with the opinion that shunted children may outgrow the need for their shunts at the age of 4 to 6 years.

The chapter on

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