Maternal-fetal surgery for myelomeningocele longitudinal follow-up model: Mitigation of care fragmentation through care coordination and outcomes reporting.
Jonathan Castillo, Mary M Locastro, Romain Corroenne, Anjali Malhotra, Alexander Van Speybroeck, Grace Lai, Michael A Belfort, Magdalena Sanz Cortes, Heidi Castillo
PMID 40221964WHAT IT FOUND
This paper reviews historical and current practices for prenatal and postnatal repair of myelomeningocele, emphasizing the need for coordinated multidisciplinary follow-up.
It does not present new data or outcomes, so it offers no direct evidence to change clinical practice.
What this paper is
This is a narrative review and historical overview of maternal-fetal surgery for myelomeningocele, focusing on care coordination models and longitudinal follow-up. It summarizes existing literature and expert consensus rather than reporting original methods or results from a new patient cohort. Consequently, there are no new clinical findings or outcomes to act on for physical, occupational, or speech-language therapy practice.
The easy way to misread this
Do not interpret the summarized statistics on surgical outcomes (such as ambulation rates or shunt needs) as new evidence from this paper. These figures are drawn from previously published studies like the MOMS trial and existing registries, meaning this review itself contributes no new data to support or refute specific rehabilitation approaches.