<?xml version="1.0" encoding="UTF-8"?>
<collection xmlns="http://www.loc.gov/MARC21/slim">
 <record>
  <leader>     caa a22        4500</leader>
  <controlfield tag="001">463180631</controlfield>
  <controlfield tag="003">CHVBK</controlfield>
  <controlfield tag="005">20180406164838.0</controlfield>
  <controlfield tag="007">cr unu---uuuuu</controlfield>
  <controlfield tag="008">170326e20070801xx      s     000 0 eng  </controlfield>
  <datafield tag="024" ind1="7" ind2="0">
   <subfield code="a">10.1007/s00381-007-0342-5</subfield>
   <subfield code="2">doi</subfield>
  </datafield>
  <datafield tag="035" ind1=" " ind2=" ">
   <subfield code="a">(NATIONALLICENCE)springer-10.1007/s00381-007-0342-5</subfield>
  </datafield>
  <datafield tag="245" ind1="0" ind2="0">
   <subfield code="a">Predicting orthopedic involvement in patients with lipomyelomeningoceles</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[R. Tubbs, Richard Winters, Robert Naftel, Veena Acharya, Michael Conklin, Mohammadali Shoja, Marios Loukas, W. Oakes]</subfield>
  </datafield>
  <datafield tag="520" ind1="3" ind2=" ">
   <subfield code="a">Introduction: Lipomyelomeningoceles (LMM) occur in approximately 1 in every 4,000 live births in the United States. They are associated with a wide range of problems in affected patients, including skin abnormalities, sensory and motor deficits, pain, urinary bladder and anal sphincter dysfunction, and orthopedic deformities. Materials and methods: In an effort to better understand the orthopedic complications associated with LMM, the present study examined the long-term orthopedic deformities in 50 patients after surgical correction of their LMM and observed for correlation between these deformities and the type and level of LMM. Results: Analysis of the collected data revealed a statistically significant relationship between of the type of LMM and the presence of orthopedic complications. However, no statistically significant relationship existed between the vertebral level of the LMM and the presence of orthopedic deformities. No correlation was identified between the level and type of LMM. Conclusion: In this study, caudal LMM were much more likely than either dorsal or transitional types to have orthopedic complications. These data may prove useful to clinicians in predicting outcome and in counseling patients and their parents.</subfield>
  </datafield>
  <datafield tag="540" ind1=" " ind2=" ">
   <subfield code="a">Springer-Verlag, 2007</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Pediatrics</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Neurosurgery</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Lower extremity</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Bone</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Tubbs</subfield>
   <subfield code="D">R.</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Winters</subfield>
   <subfield code="D">Richard</subfield>
   <subfield code="u">Surgical Physician Assistant Program, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Naftel</subfield>
   <subfield code="D">Robert</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Acharya</subfield>
   <subfield code="D">Veena</subfield>
   <subfield code="u">University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Conklin</subfield>
   <subfield code="D">Michael</subfield>
   <subfield code="u">Division of Orthopedics, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Shoja</subfield>
   <subfield code="D">Mohammadali</subfield>
   <subfield code="u">Department of Anatomy and Neurosurgery, Tabriz University, Tabriz, Iran</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Loukas</subfield>
   <subfield code="D">Marios</subfield>
   <subfield code="u">Department of Anatomical Sciences, St. George's University, St. George's, Grenada</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="700" ind1="1" ind2=" ">
   <subfield code="a">Oakes</subfield>
   <subfield code="D">W.</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="773" ind1="0" ind2=" ">
   <subfield code="t">Child's Nervous System</subfield>
   <subfield code="d">Springer-Verlag</subfield>
   <subfield code="g">23/8(2007-08-01), 835-838</subfield>
   <subfield code="x">0256-7040</subfield>
   <subfield code="q">23:8&lt;835</subfield>
   <subfield code="1">2007</subfield>
   <subfield code="2">23</subfield>
   <subfield code="o">381</subfield>
  </datafield>
  <datafield tag="856" ind1="4" ind2="0">
   <subfield code="u">https://doi.org/10.1007/s00381-007-0342-5</subfield>
   <subfield code="q">text/html</subfield>
   <subfield code="z">Onlinezugriff via DOI</subfield>
  </datafield>
  <datafield tag="908" ind1=" " ind2=" ">
   <subfield code="D">1</subfield>
   <subfield code="a">research-article</subfield>
   <subfield code="2">jats</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">856</subfield>
   <subfield code="E">40</subfield>
   <subfield code="u">https://doi.org/10.1007/s00381-007-0342-5</subfield>
   <subfield code="q">text/html</subfield>
   <subfield code="z">Onlinezugriff via DOI</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Tubbs</subfield>
   <subfield code="D">R.</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Winters</subfield>
   <subfield code="D">Richard</subfield>
   <subfield code="u">Surgical Physician Assistant Program, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Naftel</subfield>
   <subfield code="D">Robert</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Acharya</subfield>
   <subfield code="D">Veena</subfield>
   <subfield code="u">University of Alabama at Birmingham School of Medicine, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Conklin</subfield>
   <subfield code="D">Michael</subfield>
   <subfield code="u">Division of Orthopedics, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Shoja</subfield>
   <subfield code="D">Mohammadali</subfield>
   <subfield code="u">Department of Anatomy and Neurosurgery, Tabriz University, Tabriz, Iran</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Loukas</subfield>
   <subfield code="D">Marios</subfield>
   <subfield code="u">Department of Anatomical Sciences, St. George's University, St. George's, Grenada</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">700</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Oakes</subfield>
   <subfield code="D">W.</subfield>
   <subfield code="u">Division of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, USA</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">773</subfield>
   <subfield code="E">0-</subfield>
   <subfield code="t">Child's Nervous System</subfield>
   <subfield code="d">Springer-Verlag</subfield>
   <subfield code="g">23/8(2007-08-01), 835-838</subfield>
   <subfield code="x">0256-7040</subfield>
   <subfield code="q">23:8&lt;835</subfield>
   <subfield code="1">2007</subfield>
   <subfield code="2">23</subfield>
   <subfield code="o">381</subfield>
  </datafield>
  <datafield tag="900" ind1=" " ind2="7">
   <subfield code="a">Metadata rights reserved</subfield>
   <subfield code="b">Springer special CC-BY-NC licence</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="898" ind1=" " ind2=" ">
   <subfield code="a">BK010053</subfield>
   <subfield code="b">XK010053</subfield>
   <subfield code="c">XK010000</subfield>
  </datafield>
  <datafield tag="949" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="F">NATIONALLICENCE</subfield>
   <subfield code="b">NL-springer</subfield>
  </datafield>
 </record>
</collection>
