Spina_Bifida_-_Management_and_Outcome.pdf

M. Memet Özek • Giuseppe Cinalli • Wirginia J. Maixner

The Spina Bifida

Management and Outcome

Fore words by

C. Sainte-Rose

C. di Rocco

P re f a ce by

M. Necmettin Pamir

The Spina Bifida: Management and Outcome

MDCT Technology and Applications

M. M EMET Ö ZEK G IUSEPPE C INALLI

Division of Paediatric Neurosurgery Department of Paediatric Neurosurgery

Marmara University Medical Center and Santobono-Pausilipon Children’s Hospital

Department of Neurosurgery

Naples, Italy

Acıbadem University

School of Medicine

Istanbul, Turkey

W IRGINIA J. M AIXNER

Department of Paediatric Neurosurgery

Royal Children’s Hospital

Parkville, Australia

Foreword by

A YDIN S AV

Marmara University Medical Center

Istanbul, Turkey

Library of Congress Control Number: 2008926860

ISBN 978-88-470-0650-8 Springer Milan Berlin Heidelberg New York

e-ISBN 978-88-470-0651-5

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C. R. Becker • Cardiac MDCT: A One-Stop Shop?

For 700 little candles having shed light on my

path and assisted me to do it right

M.M. Özek

To my mother, to Fabrizia, Francesco

and Maria Allegra

G. Cinalli

To my parents, who through their love have

allowed me to realise my dreams

To my daughter, the most beautiful

of all my dreams

W.J. Maixner

Foreword

C. R. Becker • Cardiac MDCT: A One-Stop Shop?

VII

By C. Sainte-Rose

As we stand at the dawn of the 21st century, one may ponder the rationale of writing

a book on spina bifida. Once commonplace in European countries prior to the era of

ultrasonography, this disease became increasingly rare in developed countries as a re-

sult of improvements in antenatal diagnosis, to the point that we believed it to be dis-

appearing. Knowledge of spina bifida and of its treatment, once so richly diffused on-

ly 30 years ago, began to fade. Young neurosurgeons who had never seen such a mal-

formation at its initial presentation were hesitant, and did not understand the protean

clinical signs of these patients presenting to the emergency department or outpatient

clinics. This situation, however, did not last for long. As a consequence of the politi-

cal and economic events of the final years of the 20th century, the advent of globali-

sation, and the significant desire for immigration, we realised that spina bifida had not

disappeared at all in the rest of the world. Migration was, and is, bringing it back on-

to our doorstep, to our everyday clinical and surgical practice. It is important there-

fore, not to lose the knowledge gained by our masters, to try and assemble it in one

place in order to understand the disease from its inception in utero through until adult-

hood and the reproductive age.

The chronology of the book, in reflection of this aim, is well organised, and ranges

from history and embryology, to prenatal diagnosis and treatment, perinatal care, ini-

tial treatment and management, and middle- and long-term complications, and finally

provides insights for the future. The authors, by not merely focusing on the neurosur-

gical issues but also on the urologic and orthopaedic consequences of this malforma-

tion, have allowed for a more global approach to these patients.

Through a greater understanding of the disease, through the improved quality of

initial care, and through the dedication of the surgeons and physicians who manage

these children from infancy into adulthood, children inflicted with spina bifida, whilst

heavily burdened, may nevertheless lead happy and full lives.

Paris, May 2008

Christian Sainte-Rose

Department of Neurosurgery

Hospital Necker-Enfants Malades

Paris, France

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