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Oblique pelvic osteotomy in the treatment of bladder exstrophy in neonates

Giordano, Marcoa; Di Lazzaro, Antonioa; Guzzanti, Vincenzoa,d; Careri, Silviaa; Bagolan, Pietrob; Zaccara, Antonio M.c; Toniolo, Renato M.a

Journal of Pediatric Orthopaedics B: May 2019 - Volume 28 - Issue 3 - p 207–213
doi: 10.1097/BPB.0000000000000614
PEDIATRIC ORTHOPAEDICS IN ITALY: SPECIAL ISSUE
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Bladder exstrophy is a congenital and rare malformation of the lower abdominal wall with exposure of the bladder mucosa to the external environment, and it is related to pelvis abnormalities. Eighteen patients with bladder exstrophy were treated with bilateral oblique pelvic osteotomy in conjunction with urologic reconstruction after they were stabilized by cast. No failure of midline closure was observed (wound dehiscence or recurrence of bladder exstrophy). Follow-up showed no leg length discrepancy or problems in walking. Bilateral oblique pelvic osteotomy is a safe procedure to treat bladder exstrophy, and it results in good orthopedic and urological function.

Departments of aOrthopaedics and Traumatology

bMedical and Surgical Neonatology

cUrology and Robotic Surgery, Bambino Gesù Children’s Hospital, Institute of Scientific Research, Rome

dUniversity of Cassino and Southern Lazio, Cassino, Italy

Correspondence to Marco Giordano, MD, Department of Orthopaedics and Traumatology, Bambino Gesù Children’s Hospital, Institute of Scientific Research, Piazza S Onofrio, 4 Rome 00165, Italy Tel: +39 335 536 1549; fax: +39 066 859 2195; e-mail: marco.giordano@opbg.net

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