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  • Introduction
  • 1. Exposure
  • 2. Osteotomy
  • 3. Closure
  • 4. Repeat for Opposite Side
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Pelvic Osteotomies for Cloacal Exstrophy

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Procedure Outline

  1. Salter Incision: One finger width below iliac crest, 1-2 cm proximal to ASIS
  2. Elevate External Oblique Muscle: Iliac crest exposed from ASIS to 1/2-3/4 the length
  3. Dissect Sartorius/Tensor Fascia Lata Interval: Protect and medially reflect lateral femoral cutaneous nerve
  4. Split Iliac Crest Apophysis
  1. Expose Inner & Outer Table of Ilium: Sub-periosteal dissection on medial and lateral surface
  2. Expose Sciatic Notch
  3. Cut from Crest to Sciatic Notch