Spina Bifida: Some Problems in Management

Orthopedic management of spina bifida.

The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of knee pain. The importance of the hip abductor muscl...

Urologic management of spina bifida.

The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity, low-pressure urinary reservoir. Ensuring adequat...

The Management of Spina Bifida in Bristol

Treatment of children born with the major congenital anomaly of spin3 bifida is becoming an increasing problem within the United Kingdom and more than ten years ago it was suggested that this condition was replacing tuberculosis as a main entity in our residential schools for the physically handicapped. Because of the success of early treatment it seems inevitable that the total number of cases...

Neurosurgical management of myelomeningocele (spina bifida).

Neurosurgical management of spina bifida: research issues.

The neurosurgical goal when treating children with spina bifida (predominantly myelomeningocele) is to maintain stable neurological functioning throughout the patient's life time. Unfortunately, few long-term outcome studies are available to help direct the neurosurgical care of a child born with myelomeningocele and often treatment relies more heavily upon the experience of senior practitioner...