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dc.contributor.authorÇetinkal, Ahmet
dc.contributor.authorTahta, Alican
dc.date.accessioned2021-10-04T07:50:26Z
dc.date.available2021-10-04T07:50:26Z
dc.date.issued2021en_US
dc.identifier.citationÇetinkal, A. ve Tahta, A. (2021). The effect of the number of open vertebral segments on the prognosis of newborns with midline closure defect: A single surgeon, single center experience. Turkish Neurosurgery, 31(5), 779-787. https://dx.doi.org/10.5137/1019-5149.JTN.32611-20.4en_US
dc.identifier.issn1019-5149
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.32611-20.4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8350
dc.description.abstractAIM: To investigate the effect of the number of open vertebral segments on the prognosis of newborns with midline closure defects (MCD), and the optimal timing for ventriculoperitoneal shunt (VPS) placement in those with MCD accompanied by hydrocephalus. MATERIAL and METHODS: A total of 63 patients (35 girls and 28 boys) were admitted to the neonatal intensive care unit between April 2016 and January 2019. The patients’ MCDs were examined in terms of type, localization, number of open vertebral segments, accompanying hydrocephalus (HC), surgical technique, and complications. RESULTS: The mean follow-up period was 12 months (6-24 months). Ten cases of meningocele (M) (15.9%), 41 cases of myelomeningocele (MM) (65%), and 12 cases of encephalocele (E) (19.1%) were identified. A VPS was inserted in 44 (69.8%) patients (E, 8; MM, 34; and M, 2), performed in 33 patients during the same admission, while 11 were shunted after discharge during the follow-up period. Thirty-four of the 41 cases of MM and all cases of M and E were primarily closed, while the remaining MMs required skin flaps. The M and MM cases were categorized according to the number of open vertebral segments and examined in CONCLUSION: In all pediatric cases, case-by-case evaluation, attention to hypothermia and meticulous hemostasis, protection of functional neural tissue, closing the defect as soon as possible, and treating accompanying HC during the same session, were tissue density correlated with the number of open vertebral segments and it was considered.en_US
dc.language.isoengen_US
dc.publisherTurkish Neurosurgical Societyen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectHydrocephalusen_US
dc.subjectMidline Closure Defecten_US
dc.subjectNewbornen_US
dc.subjectSurgical Treatmenten_US
dc.titleThe effect of the number of open vertebral segments on the prognosis of newborns with midline closure defect: A single surgeon, single center experienceen_US
dc.typearticleen_US
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalıen_US
dc.authorid0000-0002-7597-1456en_US
dc.authorid0000-0003-0467-7521en_US
dc.identifier.volume31en_US
dc.identifier.issue5en_US
dc.identifier.startpage779en_US
dc.identifier.endpage787en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.5137/1019-5149.JTN.32611-20.4en_US
dc.identifier.wosqualityQ4en_US
dc.identifier.scopusqualityQ3en_US


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