{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T10:57:06Z","timestamp":1793271426821,"version":"4.5.0"},"reference-count":35,"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>Conjoined twins are a rare congenital abnormality with an estimated incidence of 1:50,000 pregnancies and 1:200,000 live births. Pygopagus twins are characterized by sacrococcygeal fusion that is commonly associated with perineal and spinal abnormalities. Management of this complex disease requires a well-developed surgical system with multidisciplinary capacity and expertise.<\/jats:p><jats:p>A decade ago there were no dedicated pediatric neurosurgeons in southern Vietnam. This has changed within a few short years; there are now 10 dedicated pediatric neurosurgeons with continually expanding technical capacity. In August 2017 a multidisciplinary surgical and anesthetic team successfully separated female pygopagus twins with fused sacrum and spinal cord with associated myelomeningocele defect.<\/jats:p><jats:p>The authors present here the first successful separation of pygopagus twins in Vietnam as a representative case of gradual and sustainable pediatric neurosurgical scale-up.<\/jats:p>","DOI":"10.3171\/2019.11.peds19291","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T22:04:08Z","timestamp":1581113048000},"page":"445-451","source":"Crossref","is-referenced-by-count":4,"title":["The growth of pediatric neurosurgery in southern Vietnam and the first separation of pygopagus twins: case report"],"prefix":"10.3171","volume":"25","author":[{"given":"Dang D. 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