A study on myelomeningocele microsurgery treatment

Objective To discuss the clinical diagnosis and therapeutic effect of microsurgery for the myelomeningocele(MMC).Methods The clinical data of 73 cases were retrospectively analyzed,and the examinations of MRI and nervous system were conducted and the microsurgical treatment for the MMC was performed in all cases.Results The degrees of untethering after microsurgery were based on Kirollos grading system,the results were as follows: 69 cases(94.5%) in GradeⅠ and four cases(5.5%) in GradeⅡ.Patients were followed up for from three months to one year and 56 out of 73 cases(76.7%) were followed up,the short term curative effectiveness in 73 patients were as follows: 19 cases(33.9%) were excellent,32 cases(57.1%) were improved,5 cases(8.9%) were not changed and no case(0.0%) were aggravated.Conclusion The MRI examination is the most effective method of MMC for diagnosing,and the microsurgery is the most effective measure for MMC treatment as early as possible.