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Retrospective cohort review shows improved outcomes with surgical adjuncts in fetal spina bifida repair, indicating safety and efficacy.
Use of an ADM patch during fetal OSB repair was associated with a lower likelihood of requiring CSF diversion at 1 year. Paraspinal myofascial flaps showed a favorable trend toward similar benefit. Neither intervention increased the risk of PPROM or preterm birth, supporting their safety as surgical adjuncts.
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Kunpalin et al. (2026) studied this question.
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