{"id":"https://openalex.org/W2893006133","doi":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","title":"Abstract: The Use of Bilateral Paraspinous Muscle Flaps and Bilateral Composite Latissimus Dorsi and Gluteus Maximus Flaps for Closure of Lumbosacral Myelomeningcele Defects in Infants","display_name":"Abstract: The Use of Bilateral Paraspinous Muscle Flaps and Bilateral Composite Latissimus Dorsi and Gluteus Maximus Flaps for Closure of Lumbosacral Myelomeningcele Defects in Infants","publication_year":2018,"publication_date":"2018-09-01","ids":{"openalex":"https://openalex.org/W2893006133","doi":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","mag":"2893006133"},"language":"en","primary_location":{"id":"doi:10.1097/01.gox.0000547013.80236.8f","doi":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","is_oa":true,"landing_page_url":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","pdf_url":null,"source":{"id":"https://openalex.org/S2754281505","display_name":"Plastic & Reconstructive Surgery Global Open","issn_l":"2169-7574","issn":["2169-7574"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic and Reconstructive Surgery - Global Open","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5072835612","display_name":"Kathleen A. Holoyda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathleen A. Holoyda","raw_affiliation_strings":["University of Utah, Salt Lake City, UT","This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068202237","display_name":"John R. W. Kestle","orcid":"https://orcid.org/0000-0003-3634-2312","observed_orcids":["https://orcid.org/0000-0003-3634-2312"]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John R. Kestle","raw_affiliation_strings":["University of Utah, Salt Lake City, UT","This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110327882","display_name":"Faizi A. Siddiqi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Faizi Siddiqi","raw_affiliation_strings":["University of Utah, Salt Lake City, UT","This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075676659","display_name":"Barbu R. Gociman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223532165","display_name":"University of Utah","ror":"https://ror.org/03r0ha626","country_code":"US","type":"education","lineage":["https://openalex.org/I223532165"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Barbu Gociman","raw_affiliation_strings":["University of Utah, Salt Lake City, UT","This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Utah, Salt Lake City, UT","institution_ids":["https://openalex.org/I223532165"]},{"raw_affiliation_string":"This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I223532165"],"apc_list":{"value":2195,"currency":"USD","value_usd":2195},"apc_paid":{"value":2195,"currency":"USD","value_usd":2195},"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":"9S","first_page":"144","last_page":"144"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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":0.9916999936103821,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10599","display_name":"Reconstructive Surgery and Microvascular Techniques","score":0.004399999976158142,"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/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.00139999995008111,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/lumbosacral-myelomeningocele","display_name":"lumbosacral myelomeningocele","score":0.9559999704360962},{"id":"https://openalex.org/keywords/latissimus-dorsi-flap","display_name":"latissimus dorsi flap","score":0.9549999833106995},{"id":"https://openalex.org/keywords/gluteus-maximus-flap","display_name":"gluteus maximus flap","score":0.9810000061988831},{"id":"https://openalex.org/keywords/fasciocutaneous-flap","display_name":"fasciocutaneous flap","score":0.8370000123977661},{"id":"https://openalex.org/keywords/soft-tissue-coverage","display_name":"soft tissue coverage","score":0.6669999957084656},{"id":"https://openalex.org/keywords/ventriculoperitoneal-shunt","display_name":"ventriculoperitoneal shunt","score":0.8949999809265137},{"id":"https://openalex.org/keywords/infants","display_name":"infants","score":0.48500001430511475}],"concepts":[{"id":"https://openalex.org/C7146039","wikidata":"https://www.wikidata.org/wiki/Q3624375","display_name":"Lumbosacral joint","level":2,"score":0.9071183204650879},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8723463416099548},{"id":"https://openalex.org/C2779455797","wikidata":"https://www.wikidata.org/wiki/Q233316","display_name":"Sacrum","level":2,"score":0.7971279621124268},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6858473420143127},{"id":"https://openalex.org/C105702510","wikidata":"https://www.wikidata.org/wiki/Q514","display_name":"Anatomy","level":1,"score":0.43919315934181213},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.43382567167282104},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1097/01.gox.0000547013.80236.8f","doi":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","is_oa":true,"landing_page_url":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","pdf_url":null,"source":{"id":"https://openalex.org/S2754281505","display_name":"Plastic & Reconstructive Surgery Global Open","issn_l":"2169-7574","issn":["2169-7574"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic and Reconstructive Surgery - Global Open","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:5167970","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6211960","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6211960","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6211960","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plast Reconstr Surg Glob Open","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:e8c705df4fa1488584dd65645179cbcf","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/e8c705df4fa1488584dd65645179cbcf","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Plastic and Reconstructive Surgery, Global Open, Vol 6, Iss 9S, Pp 144-144 (2018)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1097/01.gox.0000547013.80236.8f","doi":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","is_oa":true,"landing_page_url":"https://doi.org/10.1097/01.gox.0000547013.80236.8f","pdf_url":null,"source":{"id":"https://openalex.org/S2754281505","display_name":"Plastic & Reconstructive Surgery Global Open","issn_l":"2169-7574","issn":["2169-7574"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Plastic and Reconstructive Surgery - Global Open","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3048418866","https://openalex.org/W2090008755","https://openalex.org/W2045369714","https://openalex.org/W2039506627","https://openalex.org/W2033753967","https://openalex.org/W3191943483","https://openalex.org/W1501337201","https://openalex.org/W2080777663","https://openalex.org/W4413406046","https://openalex.org/W3206501356"],"abstract_inverted_index":{"PURPOSE:":[0],"Myelomeningocele":[1],"is":[2,39,146],"the":[3,9,25,34,40,44,81,92,140,172,187,198,216,221,243,248],"most":[4,30],"common":[5],"congenital":[6],"malformation":[7,272],"of":[8,16,43,54,62,99,107,143,197,230,253,262,266,275,286,292,303,314,334,355,376,394],"central":[10],"nervous":[11],"system,":[12],"with":[13,68,86,131,215,288,320,381,386],"a":[14,59,289,300],"prevalence":[15],"4.4":[17],"to":[18,47,77,91,192,236],"4.6":[19],"per":[20],"10,000":[21],"live":[22],"births":[23],"in":[24,33,71,80,89,341,358],"United":[26],"States.":[27],"They":[28],"are":[29,158,165,180,212],"commonly":[31],"observed":[32],"lumbosacral":[35,55,87,135,144,335,356],"region,":[36],"as":[37],"this":[38],"last":[41],"region":[42],"neural":[45],"tube":[46],"fuse.1":[48],"Robust,":[49],"reliable":[50],"and":[51,102,119,122,153,174,183,207,218,227,273,310,325,331,353,392],"reproducible":[52],"closure":[53,129,252],"myelomeningocele":[56,136,145,254,339],"defects":[57,64,336,380],"remains":[58],"challenge.":[60],"Closure":[61,375],"spinal":[63],"following":[65,134,337],"neurosurgical":[66,95,141,338],"procedures":[67],"well-vascularized":[69,132],"flaps":[70,121,133,157,164,179,211,318,328],"high-risk":[72],"patients":[73,232,245],"has":[74],"been":[75,112,283],"shown":[76],"reduce":[78],"complications":[79],"adult":[82],"population.2":[83],"In":[84],"infants":[85],"myelomeningocele,":[88],"addition":[90],"relatively":[93],"standard":[94],"repair":[96,142,340],"that":[97,246],"consists":[98],"placode":[100],"tubularization":[101],"dural":[103,199],"repair,":[104],"multiple":[105],"methods":[106],"soft":[108],"tissue":[109],"coverage":[110,196,333],"have":[111,282],"described.":[113],"These":[114],"include":[115],"various":[116],"cutaneous,":[117],"fascial":[118],"muscle":[120,178,223,317],"grafts.":[123],"We":[124],"present":[125,237],"here":[126],"our":[127,390],"unique":[128],"technique":[130,250],"repair.":[137,200,225],"METHODS:":[138],"After":[139],"completed,":[147],"bilateral":[148,202,315,321,387],"composite":[149,203,322],"latissimus":[150,204,323],"dorsi":[151,205,324],"musculocutanous":[152],"gluteus":[154,161,208,326],"maximus":[155,162,209,327],"fasciocutanous":[156,210],"elevated.":[159],"The":[160,176,201],"fasciocutaneous":[163],"completely":[166],"elevated":[167,182],"from":[168,233],"their":[169],"insertion":[170],"on":[171,186],"ileum":[173],"sacrum.":[175],"paraspinous":[177,222,316],"then":[181],"medialized":[184],"based":[185,383],"lateral":[188],"row":[189],"arterial":[190],"perforators":[191],"provide":[193],"complete":[194],"muscular":[195],"muscleocutanous":[206],"medialized,":[213],"reapproximated":[214],"sacrum,":[217],"closed":[219],"over":[220],"flap":[224,385],"Demographic":[226],"outcomes":[228],"data":[229],"9":[231,244,267,276],"June":[234],"2014":[235],"were":[238,258],"retrospectively":[239],"reviewed.":[240],"RESULTS:":[241],"Of":[242],"underwent":[247],"above":[249],"for":[251],"defects,":[255],"all":[256],"repairs":[257],"performed":[259],"between":[260],"days":[261],"life":[263],"0\u20133.":[264],"Seven":[265],"(77.8%)":[268],"had":[269],"Chiari":[270],"2":[271],"3":[274],"(33.3%)":[277],"required":[278],"ventriculoperitoneal":[279],"shunt.":[280],"There":[281],"no":[284],"episodes":[285],"dehiscence":[287],"median":[290],"follow-up":[291],"52":[293],"weeks":[294],"(6\u2013161":[295],"weeks).":[296],"One":[297],"patient":[298],"experienced":[299],"small":[301],"area":[302],"superficial":[304],"skin":[305],"necrosis":[306],"requiring":[307],"surgical":[308],"excision":[309],"reclosure.":[311],"CONCLUSION:":[312],"Use":[313],"covered":[319],"provides":[329],"robust":[330],"durable":[332],"infants.":[342],"References:":[343],"1.":[344],"Kural,":[345],"Solmax,":[346],"Tehli,":[347],"Emiz,":[348],"Kutlay,":[349],"Daneyemez,":[350],"Izci.":[351],"Evaluation":[352],"management":[354],"myelomeningoceles":[357],"children.":[359],"Eurasian":[360],"J":[361,397],"Med.":[362],"2015;":[363,400],"47(3):":[364],"174\u2013178.":[365],"2.":[366],"Kesan,":[367],"Kothari,":[368],"Gupta,":[369,370],"Karkera,":[371],"Ranjan,":[372],"Mutkhedkar,":[373],"Sandlas.":[374],"large":[377],"meningomyelocele":[378],"wound":[379],"subcutaneous":[382],"pedicle":[384],"V-Y":[388],"advancement:":[389],"experience":[391],"review":[393],"literature.":[395],"Eur":[396],"Pediatr":[398],"Surg.":[399],"25(2):":[401],"189\u2013194.":[402]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2018-10-05T00:00:00"}