Staged Preoperative Tissue Expansion and Flap Closure for Posterior Spinal Fusion in an Adolescent with Repaired Myelomeningocele and Severe Neuromuscular Scoliosis: A Case Report
Background/Objective(s)/Introduction: Severe neuromuscular scoliosis in patients with spina bifida and prior myelomeningocele repair presents substantial operative challenges, particularly regarding soft tissue closure over spinal instrumentation. Scarred, thin posterior tissues and exposed dural elements increase the...