Revisiting the MOMS criteria for prenatal repair of spina bifida: should upper limit of gestational age and anatomical level be maintained?
Lucas Augusto Monteiro de Castro Doin TrigoR H ChmaitA LlanesG CatissiElisenda EixarchA Van SpeybroeckDenise Araújo LapaPublished in: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (2023)
The 4-week interval between the first evaluation and the "late" fetal surgical repair does not significantly change motor function, suggesting that later repair > 26 weeks does not have a negative impact on motor outcome. The preoperative neuromotor functional assessment via ultrasound was better predictive of postnatal motor function as compared to the anatomical level of the lesion in cases undergoing prenatal repair of open spina bifida and should be included in preoperative counseling. This article is protected by copyright. All rights reserved.