Spinal dysraphism: a cross-sectional and retrospective multidisciplinary clinic-based study.

Area of Science:

• Neurology
• Pediatric Orthopedics
• Rehabilitation Medicine

Background:

• Spinal dysraphism is a common birth defect with diverse secondary impairments.
• Existing research lacks generalizability due to varied terminology and policies.
• This study defines characteristics of Taiwanese patients with spinal dysraphism.

Purpose of the Study:

• To characterize patients with spinal dysraphism in Taiwan.
• To identify key factors influencing clinical outcomes.

Main Methods:

• Cross-sectional study of 78 patients with myelomeningocele or lipomyelomeningocele.
• Data collected via telephone interviews and retrospective chart review.
• Clinical data included neurologic level, orthopedic deformities, assistive device use, and ambulation; Spearman's correlation used.

Main Results:

• Myelomeningocele patients exhibited more severe neurologic involvement and poorer outcomes.
• Higher neurologic level correlated with worse ambulation, more deformities, and increased assistive device use.
• Neurologic level significantly influenced shunt history, orthopedic deformities, and bowel/bladder dysfunction.

Conclusions:

• Neurologic level is the primary prognostic factor for spinal dysraphism patients.
• It impacts ambulation, orthopedic status, and functional independence.
• This finding aids in personalized treatment and management strategies.