{"id":"https://openalex.org/W2460128359","doi":null,"title":"[Aspects of long-term management of children with myelomeningocele. Analysis of the last 10 years from the neuropediatric-neurosurgical viewpoint].","display_name":"[Aspects of long-term management of children with myelomeningocele. Analysis of the last 10 years from the neuropediatric-neurosurgical viewpoint].","publication_year":1993,"publication_date":"1993-04-01","ids":{"openalex":"https://openalex.org/W2460128359","mag":"2460128359","pmid":"https://pubmed.ncbi.nlm.nih.gov/8487793"},"language":"de","primary_location":{"id":"pmid:8487793","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8487793","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","raw_type":"English Abstract"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053089611","display_name":"Martin Holder","orcid":"https://orcid.org/0000-0002-6577-5400","observed_orcids":["https://orcid.org/0000-0002-6577-5400"]},"institutions":[{"id":"https://openalex.org/I4210113917","display_name":"Olgahospital","ror":"https://ror.org/01xet8208","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210113917","https://openalex.org/I4210161485"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"M Holder","raw_affiliation_strings":["Olgahospital, P\u00e4diatrisches Zentrum, Kinderklinik, Stuttgart"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Olgahospital, P\u00e4diatrisches Zentrum, Kinderklinik, Stuttgart","institution_ids":["https://openalex.org/I4210113917"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031377313","display_name":"Bianca K\u00f6hler","orcid":"https://orcid.org/0000-0002-9456-0302","observed_orcids":["https://orcid.org/0000-0002-9456-0302"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B K\u00f6hler","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111771253","display_name":"H. W\u00f6rle","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"H W\u00f6rle","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034794694","display_name":"R. Keimer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R Keimer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5034130991","display_name":"T. Tzonos","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"T Tzonos","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"141","issue":"4","first_page":"308","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12552","display_name":"Fetal and Pediatric Neurological Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/myelomeningocele","display_name":"myelomeningocele","score":1.0},{"id":"https://openalex.org/keywords/meningocele","display_name":"meningocele","score":0.9020000100135803},{"id":"https://openalex.org/keywords/long-term-follow-up","display_name":"long-term follow-up","score":0.7120000123977661},{"id":"https://openalex.org/keywords/neonatal-surgery","display_name":"neonatal surgery","score":0.6150000095367432},{"id":"https://openalex.org/keywords/survival-rate","display_name":"survival rate","score":0.6010000109672546},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.9850000143051147},{"id":"https://openalex.org/keywords/chiari-malformation","display_name":"Chiari malformation","score":0.9700000286102295},{"id":"https://openalex.org/keywords/corpus-callosum-abnormalities","display_name":"corpus callosum abnormalities","score":0.8460000157356262}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9426668286323547},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5698075294494629},{"id":"https://openalex.org/C2778134817","wikidata":"https://www.wikidata.org/wiki/Q193003","display_name":"Hydrocephalus","level":2,"score":0.5432894825935364},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5135884284973145},{"id":"https://openalex.org/C2778368355","wikidata":"https://www.wikidata.org/wiki/Q5488","display_name":"Aplasia","level":2,"score":0.43083709478378296}],"mesh":[{"descriptor_ui":"D002557","descriptor_name":"Cerebrospinal Fluid Shunts","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005500","descriptor_name":"Follow-Up Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006849","descriptor_name":"Hydrocephalus","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D006849","descriptor_name":"Hydrocephalus","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008588","descriptor_name":"Meningocele","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D008588","descriptor_name":"Meningocele","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D008591","descriptor_name":"Meningomyelocele","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D008591","descriptor_name":"Meningomyelocele","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D009460","descriptor_name":"Neurologic Examination","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D012086","descriptor_name":"Reoperation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015996","descriptor_name":"Survival Rate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:8487793","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8487793","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Monatsschrift Kinderheilkunde : Organ der Deutschen Gesellschaft fur Kinderheilkunde","raw_type":"English Abstract"},{"id":"mag:2460128359","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8487793","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2078458052","https://openalex.org/W139114697","https://openalex.org/W1964589437","https://openalex.org/W2021555937","https://openalex.org/W1504562456","https://openalex.org/W4206736340","https://openalex.org/W2414232639","https://openalex.org/W2005104414","https://openalex.org/W2416567377","https://openalex.org/W2742094560"],"abstract_inverted_index":{"BACKGROUND:":[0],"Both":[1],"the":[2,15,30,59,67,92,123,134,137,150,159],"use":[3],"of":[4,8,10,18,33,70,79,83,97,106,128,136,158,185,187],"a":[5,76,154,163,182],"selective":[6,77,183],"policy":[7,78,184],"treatment":[9,186],"newborns":[11,39,188],"with":[12,35,40,114,131,142,189,191],"myelomeningocele":[13,41,143,190],"and":[14,45,54,126,162],"right":[16],"time":[17,135],"back":[19,138],"closure":[20],"are":[21],"still":[22,179],"controversially":[23],"discussed.":[24],"We":[25,178],"report":[26],"our":[27],"experiences":[28],"in":[29,122],"long-term":[31],"care":[32],"children":[34,85,141],"myelomeningocele.":[36],"METHODS:":[37],"103":[38],"(n":[42,47],"=":[43,48],"94)":[44],"meningocele":[46],"9)":[49],"born":[50],"1980":[51],"to":[52,133],"1990":[53],"cared":[55],"for":[56],"regularly":[57],"at":[58],"Olgahospital's":[60],"pediatric":[61],"clinic":[62],"were":[63,103,119,168],"followed":[64],"up":[65],"from":[66],"neuropediatric-neurosurgical":[68],"point":[69],"view.":[71],"Postpartum":[72],"we":[73],"predominantly":[74,180],"practised":[75,181],"treatment.":[80],"RESULTS:":[81],"15":[82],"21":[84],"(71.4%)":[86],"not":[87],"operated":[88,104],"on":[89],"died":[90],"during":[91],"first":[93],"days":[94],"or":[95,156,174],"months":[96],"life,":[98],"6":[99],"(28.6%)":[100],"survived.":[101],"70":[102],"selectively,":[105],"which":[107],"9":[108],"(12.9%)":[109],"died,":[110],"61":[111],"(87.1%)":[112],"survived":[113],"mainly":[115,192],"good":[116,193],"result.":[117],"There":[118],"no":[120],"differences":[121],"survival":[124],"rate":[125],"frequency/type":[127],"postoperative":[129],"complications":[130],"respect":[132],"closure.":[139],"31":[140],"(33%)":[144],"had":[145],"CNS":[146],"anomalies":[147],"other":[148],"than":[149],"Arnold-Chiari-Malformation,":[151],"mostly":[152],"being":[153],"dys-":[155],"aplasia":[157],"corpus":[160],"callosum":[161],"deformed":[164],"ventricle":[165],"system.":[166],"These":[167],"diagnosed":[169],"almost":[170],"exclusively":[171],"by":[172],"CT":[173],"MRT":[175],"scan.":[176],"CONCLUSIONS:":[177],"results.":[194]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-07-22T00:00:00"}
