{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T04:09:28Z","timestamp":1681618168925},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>Open neural tube defects are complex congenital abnormalities of the nervous system in which nervous tissue is exposed on the patient\u2019s back at the time of delivery. These malformations require surgical correction, and although replacement of the neural placode internally is fairly standard, providing skin closure can be very challenging especially in large defects. An abdominal reapproximation anchor (ABRA) device may be of value in attaining skin closure in these large, open myelomeningocele defects in which primary closure cannot be accomplished surgically. In a study period during which 65 patients underwent surgical closure of open myelomeningocele defects, 5 of them underwent ABRA-assisted closure.<\/jats:p><jats:p>The average surgical intervention for myelomeningocele repair occurred on day 2.2 of life (range 2\u20133 days). The average defect size was 37 cm<jats:sup>2<\/jats:sup> (range 16\u201356 cm<jats:sup>2<\/jats:sup>), and the average time to formal closure was 30.8 days (range 8\u201363 days). One of the patients had natural closure with just ABRA approximation. The remaining 4 patients underwent formal delayed primary closure when the skin edges became approximated. Use of the ABRA system in the closure of a large, open myelomeningocele may be valuable in select patients but requires further follow-up and comparison to identify truly significant differences with traditional techniques.<\/jats:p>","DOI":"10.3171\/2019.11.peds19225","type":"journal-article","created":{"date-parts":[[2020,4,24]],"date-time":"2020-04-24T13:37:00Z","timestamp":1587735420000},"page":"402-406","source":"Crossref","is-referenced-by-count":0,"title":["Use of an abdominal reapproximation anchor system in the closure of large, open myelomeningoceles"],"prefix":"10.3171","volume":"25","author":[{"given":"Patrick K.","family":"Jowdy","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Perry","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University at Buffalo, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee M.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Birth Defects Res A Clin Mol Teratol","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1002\/bdra.20468","article-title":"Trends in the postfortification prevalence of spina bifida and anencephaly in the United States","volume":"82","author":"Boulet SL","year":"2008","unstructured":"Boulet SL, Yang Q, Mai C, Kirby RS, Collins JS, Robbins JM, : Trends in the postfortification prevalence of spina bifida and anencephaly in the United States. 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