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Flora Gjonbalaj

Flora Gjonbalaj

University of Pedagogy in Health Sciences, Kosovo

Title: The incidence of operated children with Meningomyelomeningocele

Biography

Biography: Flora Gjonbalaj

Abstract

Meningo/myelomeningocele is the most common malformation of medulla spinalis, which is also called Spina Bifida Aperta, Spina Bifida Cystica or in most cases open neural tube defect. When people talk for Spina Bifida, often they refer as myelomeningocele, which is known as the most serious form.
 
Research objectives
Our research is the creation of some statistics for the incidence of children operated with meningo/myelomeningocele, gender, age, place of residence, and the incidence of complicated cases in  Hydrocephaly, in the period from 2010 to April 2014.
 
Hypotheses
H1. The incidence of children operated with meningo/myelomeningocele. 
H2. Complications of meningo/myelomeningocele accompanied with   Hydrocephaly.
 
Purpose
The aim of this study is to raise health commitment, public attention for patients affected by meningo/myelomeningocele, to analyze the incidence of these children who have been operated to us, also treatment and postoperative complications.
 
Material and Methods
In the study, we have used extracts from the protocol block of neurosurgical operative hall in UCCK in Pristina. Is a retrospective study on the incidence of operated children with Meningo/Myelomeningocele. We have analyzed in a retrospective form all clinical data.
The sample comprises 75 children operated with neural tube defects, meningo/myelomeningocele in the hall of Neurosurgery at UCCK in Pristina, during the period from 2010 to April 2014.
 
Results
The general number of born children with defects and different pathologies of neural tube from 2010 to April 2014 is 133. The incidence of operated children with Meningo/Myelomeningocele, in the period from 2010 to April 2014 in the hall of neurosurgery at UCCK in Pristina is 75 cases, of which 48 (64%) are diagnosed with Meningocele (DS=5.31), 27 (36%) are diagnosed with Myelomeningocele (DS=1.94).
From these cases, 31 (38%) were registered from urban areas (r=.371,p<0.01), 44 (62%) were registered from rural areas (r=.536,p<0.01), 48(67%) cases were females, while 27(33%) were males. Out of the 75 children operated with Meningo/Myelomeningocele 10(14%) cases have suffered complications accompanied with Hydrocephaly (DS=1.22). The average age of operated children was 4-5 days. By making correlation analysis, it was found a significant rapport in the structure of operated children with meningo/Myelomeningocele, and the incidence of children with complications accompanied with hydrocephaly.