They constitute a large part of congenital malformations - malformations.
It is also called midline junction anomalies and spinal dysraphism. It is divided into open and closed. The common feature of the open or closed type is that there is a fusion defect in the bone forming the posterior part of the spine. Although they are most commonly seen in the lumbar region, they can occur in every part of the spine, namely the neck and back, with a decreasing frequency.
There has been a serious decrease in the incidence of open midline closure anomalies in recent years. This is due to the frequency of tests and examinations for the baby in the womb before the birth, to obtain more reliable information, and to decide what to do against the congenital anomaly while still in the mother's womb. It is recommended.
If we are faced with a delayed diagnosis, various ways are followed in terms of follow-up and treatment in this case.
Surgical interventions that can be done while in the womb have been abandoned.
I think it would be right to evaluate the baby's general condition in terms of the timing of the operation after delivery and to intervene in this anomaly as soon as possible. By performing the treatment for the correction of this pathology as soon as possible, we both reduce the possibility of infection from this region and I think it will be a moral gain for the family. may be available. For this reason, it would be beneficial for such babies to be evaluated by many multidisciplinary specialists. From our point of view, anomalies such as hydrocephalus and Chiari malformation-cerebellum prolapse are frequently seen together with midline defects.
Therefore, we should definitely research about these anomalies and in the presence of existing anomalies, treatment should be planned in this respect.
Also, in the majority of infants with open midline closure anomaly, an anomaly is observed below the waist in neurological examination. ordinances are available. Paralysis of the legs, loss of urine and stool control, etc. Neurological problems are among the most common examination findings. The aim of surgical intervention in those with these neurological problems is the repair of the area with skin opening and the correction of its appearance, and neurological improvement is usually not achieved.
Closed midline anomalies may not occur for many years. Generally, the presence of spots on the skin where the anomaly is located (neck, back and waist), the presence of abnormal hair growth or the presence of a thin small hole orifice are among the findings. It is usually seen as an innocent pathology and does not require surgical treatment. Although it is possible to cause low back pain in some periods of life, the diagnosis is usually made as a result of the examinations performed in this period.
There are also opinions that there is a potential risk in terms of low back slippage in the later stages of life.
Nervous. Congenital anomalies such as spinal cord syndrome, lipomeningomyelocele, split spinal cord syndrome, etc. appear with the complaints they make in the later stages of life. Anomaly of the fusion of the bone called the lamina at the back of the spine is common in practice, it is generally considered as an innocent pathology and does not require surgical treatment. Although it is possible to cause low back pain in some periods of life, the diagnosis is usually made as a result of the examinations performed in this period.
There are also opinions that there is a potential risk in terms of low back slippage in the later stages of life.
Nervous. Congenital anomalies such as spinal cord syndrome, lipomeningomyelocele, split-spinal cord syndrome, etc. occur with the complaints they make in the later stages of life.
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