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Published on: February 5, 2019
Examining the newborn with an open spinal dysraphism
1Texas Children's Hospital, University of Texas-Houston, School of Nursing, Houston, Texas 77030, USA. mcbrand@texaschildrenshospital.org
Insights
Neonatal nurses stabilize infants with open spinal dysraphisms, such as myelomeningoceles. They examine malformations and implement protocols for lifelong care, supporting families throughout the process.
Area of Science:
- Pediatric Neurology
- Neonatal Nursing
- Developmental Biology
Background:
- Spinal dysraphism encompasses complex spine and spinal cord malformations.
- Open spinal dysraphisms, primarily myelomeningoceles, present significant immediate and lifelong health challenges.
- Effective management requires specialized neonatal nursing interventions.
Purpose of the Study:
- To review the embryology of open spinal dysraphisms.
- To outline the critical steps for stabilizing and evaluating affected neonates.
- To emphasize the essential role of neonatal nurses in managing these conditions.
Main Methods:
- Review of embryological development of spinal dysraphisms.
- Description of immediate stabilization techniques for affected infants.
- Outline of systematic examination protocols for spinal malformations.
Main Results:
- Understanding embryology is key to recognizing spinal dysraphisms.
- Prompt stabilization and thorough evaluation are crucial for neonatal outcomes.
- Evidence-based protocols guide the management of associated morbidities.
Conclusions:
- Neonatal nurses play a vital role in the initial care of infants with open spinal dysraphisms.
- Comprehensive management involves stabilization, examination, protocol implementation, and family support.
- Early and coordinated care is essential for improving the long-term health of affected children.
Abstract:
Spinal dysraphism includes a constellation of frequent and potentially complex malformations of the spine and spinal cord. Open spinal dysraphisms, the majority of which are myelomeningoceles, have a number of associated morbidities that require both immediate and lifelong medical care. The role of the neonatal nurse includes the immediate stabilization of the affected infant, systematic examination of the malformation, and implementation of evidence-based protocols to ameliorate the associated medical problems. Coordination of care and communication and support of the family are essential aspects of care. This article reviews the embryology of open spinal dysraphisms and the steps needed to stabilize and evaluate affected infants.
