Myelomeningocele: approach and treatment alternatives, based on the evidence provided by gait analysis

Abstract

Myeloschisis or myelocele is a rare and severe form of spina bifida, vertebral arches are deficient and neural plate material is spread out on the surface, sometimes in a shallow depression, more commonly over a cystic swelling of the meninges. It is most common in the lumbosacral region. The spectrum of clinical presentation is enormous, ranging from lethal rachischisis to asymptomatic spina bifida occulta with a small lipoma. The diversity of presentations, suggests that the causative factors exert their effects at different periods of development, In addition to genetics and the environment that should be considered. Other associated abnormalities found in spina bifida are: congenital spine deformity, Sprengel deformity, tethered cord, and neurogenic bladder and Talipes equinovarus. Also high risk of latex allergy is present.