Pelvic osteotomy for bladder exstrophy
Schmidt, A.H.; Keenen, T.L.; Tank, E.S.; Bird, C.B.; Beals, R.K.
Journal of Pediatric Orthopedics 13(2): 214-219
1993
ISSN/ISBN: 0271-6798 PMID: 8459014 Document Number: 416761
Twenty-five patients with bladder exstrophy underwent pelvic osteotomy at or before initial bladder closure and anterior abdominal repair. Ten patients underwent bilateral iliac osteomtomies before 1977. An alternative procedure consisting of bilateral superior pubic ramotomies has been used in 15 patients since 1977. In all patients, successful tension-free closure of the abdomen was achieved. Long-term follow-up of these two groups of patients shows no difference in the degree of pubic diastasis, which was asymptomatic. Posterior iliac osteotomy requires two additional incisions, longer operative time, and postoperative immobilization. We therefore recommend bilateral superior pubic ramotomy as an alternative procedure in initial reconstruction of the anterior abdomen in patients with bladder exstrophy.