Multiple surgeries in paediatric patients with myelomeningocele. Can we define quantitative and qualitative evolution patterns according to the level of spinal lesion?

Background Children with myelomeningocele are usually submitted to multiple surgeries, since first days of life to late adolescence, with long stays in hospital and family life disruption. However the number and type of surgeries are not the same in every child with myelomeningocele across the time and from child to child. We have attempted to define a pattern of surgeries in patients with myelomeningocele and Chiari II malformation across the time (0-18 years), according to the spinal level.