What is it about?

Compared bladder outcomes in patients who underwent spinal cord untethering, with and without the addition of intradural nerve anastomosis

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Why is it important?

Patients who had the nerve anastomosis during spinal cord untethering were no able to control their urination any better than patients who only had a spinal cord untethering.

Perspectives

Suggests further animal studies need to be done before the intradural nerve anastomosis described by Xiao et al should be widely used in humans. The findings of this study support the findings of other investigators, who studied the nerve anastomosis in patients with bladder dysfunction related to spinal cord injury.

Dr. Gerald F Tuite
Johns Hopkins All Children's Hospital

Read the Original

This page is a summary of: Lack of efficacy of an intradural somatic-to-autonomic nerve anastomosis (Xiao procedure) for bladder control in children with myelomeningocele and lipomyelomeningocele: results of a prospective, randomized, double-blind study, Journal of Neurosurgery Pediatrics, August 2016, Journal of Neurosurgery Publishing Group (JNSPG),
DOI: 10.3171/2015.10.peds15271.
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