Conventional Spinal Radiography as a Supplement to the Neurologic Assessment in Myelomeningocele

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Abstract
In patients born with a myelomeningocele early assessment of the severity of the anomaly is mandatory for planning of therapy. Conventional spinal radiography, although a routine examination, in many hospitals has been regarded as less rewarding. However, in this retrospective investigation of 92 patients, a reasonable conformity was found between conventional radiograms and neurologic deficit at follow-up. There was no significant difference between the results of radiologie examinations carried out during the first 1 to 10 weeks after birth and the later neurologic findings. Hence, the simple radiologie assessment has proved a valuable baseline examination in these patients. In cases with discrepancy between the conventional radiologie and the neurologic findings, and in cases with a course diverging from the anticipated, more sophisticated methods of imaging are recommended.

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