1 Division of Rehabilitation Medicine Montefiore Hospital and Medical Center Bronx, New York 10467
In his Commentary, "Surgical Treatment of Myelomeningocele" (Pediatrics, 42:225, 1968),Dr. Donald D. Matson recommends only custodial care for children with no neurologic function "below the upper lumbar levels," whether or not there is signifiant hydnocephalus." He acknowledges a divergence of opinion, implying that those who would operate upon such patients are misguided in their disregard of moral and social issues. The weight of evidence, however, seems to support the contrary opinion.
Understandably, but unfortunately, Dr. Matson could not detail in a brief Commentary the numbers, management, and duration of ohservation of the cases upon which his conclusion is based.