Myelokyphectomy in Spina Bifida: The Modified Fackler/Sagittal Shilla Technique

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Myelokyphectomy in Spina Bifida: The Modified Fackler/Sagittal Shilla Technique

By Johns Hopkins Pediatric Orthopedics FEATURING Adam Margalit, Paul Sponseller

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August 2, 2016

Kyphosis occurs in about 10-15% of infants with myelomeningocele. The Modified Fackler/Sagittal Shilla technique is ...
read more ↘ indicated for a child nine years of age or less with a fixed kyphosis and impaired sitting balance, recurrent skin ulcerations, respiratory depression, and/or pain. It combines aspects of both the Shilla technique described by McCarthy and the originally described Fackler technique for myelokyphosis. This procedure is associated with good long-term outcomes including an increased and sustained curve correction, decreased overall surgeries, height gain, and low complications.

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