PELVIC OSTEOTOMY IN CLOACAL EXSTROPHY: A CHANGING PERSPECTIVE

Cloacal exstrophy (CE) is a severe congenital malformation with various anomalies involving the bladder, genitals, hindgut, limbs, and spinal cord [1]. The bony pelvis of CE patients involves both rotational and dimensional abnormalities which results in a waddling gait, increased distance between the hips, and outward rotation of the lower limbs [1, 2]. CE is the most severe on the spectrum of the exstrophy-epispadias complex (EEC) with diastasis widths greater than 6 cm, making surgical closure of the abdominal wall, bladder, and bony pelvis challenging [1, 3].