Journal of Pediatric Urology
Volume 7, Issue 4 , Pages 456-459 , August 2011

Safety and efficacy of spica casts for immobilization following initial bladder closure in classic bladder exstrophy

  • Angela M. Arlen

      Affiliations

    • Department of Urology, University of Iowa, Iowa City, IA, USA
    • ,
  • Christopher S. Cooper

      Affiliations

    • Department of Urology, University of Iowa, Iowa City, IA, USA
    • ,
  • Jose Morcuende

      Affiliations

    • Department of Orthopedics, University of Iowa, Iowa City, IA, USA
    • ,
  • J. Christopher Austin

      Affiliations

    • Department of Urology, University of Iowa, Iowa City, IA, USA
    • Corresponding Author InformationCorrespondence to: J. Christopher Austin, Oregon Health Sciences University, Division of Pediatric Urology, CDW6, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USA. Tel.: +1 503 494 6303.

Received 18 January 2010 ,Accepted 23 June 2010.

References 

  1. Oesterling JE, Jeffs RD. The importance of a successful initial bladder closure in the surgical management of classical bladder exstrophy: analysis of 144 patients treated at the Johns Hopkins Hospital between 1975 and 1985. J Urol. 1987;137:258–262
  2. Meldrum KK, Baird AD, Gearhart JP. Pelvic and extremity immobilization after bladder exstrophy closure: complications and impact on success. Urology. 2003;62:1109–1113
  3. Gearhart JP, Ben-Chaim J, Sciortino C, Sponseller PD, Jeffs RD. The multiple reoperative bladder exstrophy closure: what affects the bladder?. Urology. 1996;47:240–243
  4. Husmann DA, McLorie GA, Churchill BM. Closure of the exstrophic bladder: an evaluation of the factors leading to its success and its importance on urinary continence. J Urol. 1989;142:522–524
  5. Gearhart JP, Jeffs RD. Management of failed exstrophy closure. J Urol. 1991;146:610–612
  6. Baird AD, Sponseller PD, Gearhart JP. The place of pelvic osteotomy in the modern era of bladder exstrophy reconstruction. J Pediatr Urol. 2005;1:31–36
  7. Grady RW, Mitchell ME. Complete primary repair of exstrophy. J Urol. 1999;162:1415–1420
  8. Baker LA, Gearhart JP. The staged approach to bladder exstrophy closure and the role of osteotomies. World J Urol. 1998;16:205–211
  9. Schmidt AH, Keenen TL, Tank ES, Bird CB, Beals RK. Pelvic osteotomy for bladder exstrophy. J Pediatr Orthop. 1993;13:214–219
  10. Yandow SM, Archibeck MJ, Stevens PM, Schultz R. Femoral-shaft fractures in children: a comparison of immediate casting and traction. J Pediatr Orthop. 1999;19:55–59
  11. Sponseller PD, Gearhart JP, Jeffs RD. Anterior innominate osteotomies for failure or late closure of bladder exstrophy. J Urol. 1991;146:137–140
  12. Schaeffer AJ, Purves JT, King JA, Sponseller PD, Jetts RD, Gearhart JP. Complications of primary closure of classic bladder exstrophy. J Urol. 2008;180:1671–1674
  13. Hip spica cast: a guide for patients. University of Iowa Children’s Hospital, Department of Nursing, Orthopedic Nursing Division; January 2008;http://www.uihealthcare.com/topics/medicaldepartments/pediatrics/hipspica/index.htmlLast revised (internal peer review) [accessed January 2010]

☆ Presented at the Third International Symposium on The Exstrophy–Epispadias Complex, Baltimore, Maryland, USA, 14 October 2009.

PII: S1477-5131(10)00393-1

doi: 10.1016/j.jpurol.2010.06.005

Journal of Pediatric Urology
Volume 7, Issue 4 , Pages 456-459 , August 2011

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