Spina Bifida

What is spina bifida?
Spina bifida (sometimes called split spine) is a developmental defect involving the neural tube. The terms spina bifida and meningomyelocele are usually used interchangeably.

What is the cause of spina bifida?
The incidence of spina bifida can be decreased up to 70% when daily folic acid supplements are taken prior to conception. Spina bifida may be associated with other malformations often resulting in spontaneous miscarriage. Genetic counseling and testing such as amniocentesis may be offered during the pregnancy since spina bifida could be associated with genetic disorders such as trisomy 18.

There is no cure for nerve damage due to spina bifida.

How is spina bifida treated?
Spina bifida can be surgically closed after birth. This does not return normal function to the affected part of the spinal cord. The patients usually require physical and occupational therapy to regain function.

Intrauterine surgery for spina bifida has also been performed and the efficacy is currently being investigated.

To prevent infection and further damage of the nervous tissue, a pediatric neurosurgeon will operate to close the opening on the back.

Most children with spina bifida will need periodic evaluations by an orthopedist, neurosurgeon, urologist, and in some cases, a neurologist.

Rehabilitative therapy is usually required.

With modern medical care, we have observed improved quality of life for children with spina bifida in our Center.