Neurosurgical procedures for children with myelomeningocele after fetal or postnatal surgery: a comparative effectiveness study.
Gordon WorleyRachel G GreenbergBrandon G RocqueTiebin LiuBrad E DiciannoJonathan P CastilloElisabeth A WardTonya R WilliamsJeffrey P BlountJohn S WienerPublished in: Developmental medicine and child neurology (2021)
Even with the variations inherent in clinical practice, fetal surgery was associated with lower frequencies of CSF diversion and of Chiari decompression, independent of covariates. What this paper adds Fetal surgery was associated with lower frequencies of cerebrospinal fluid diversion and decompression of Chiari II malformation than postnatal surgery. Frequencies of ventriculoperitoneal shunt revision and tethered cord release were not significantly different between cohorts.