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Children with spina bifida: key clinical issues

Adrian D Sandler1

  • 1Olson Huff Center, Mission Children's Hospital, 11 Vanderbilt Park Drive, Asheville, NC 28803, USA. adsandler@pol.net

Pediatric Clinics of North America
|October 2, 2010
PubMed

Insights

Spina bifida, a common neural tube defect, involves incomplete vertebral arches and causes various impairments. This article details associated sensory, motor, neurologic, orthopedic, and cognitive issues in affected children.

Area of Science:

  • Developmental Biology
  • Pediatric Neurology
  • Clinical Medicine

Background:

  • Spina bifida is the most prevalent neural tube defect.
  • It is a complex, multisystem birth defect characterized by incomplete vertebral arches.
  • Other neural tube defects include myelomeningocele, encephalocele, and anencephaly.

Purpose of the Study:

  • To discuss the multifaceted impairments associated with spina bifida.
  • To summarize key clinical issues in the care of children with spina bifida.
  • To provide a comprehensive overview of this complex birth defect.

Main Methods:

  • Literature review of spina bifida.
  • Discussion of associated sensory and motor impairments.
  • Summary of neurologic, orthopedic, and cognitive deficits.

Main Results:

  • Spina bifida presents with a range of sensory and motor deficits.
  • Neurologic, orthopedic, and cognitive impairments are common.
  • Associated skin and other problems require management.
  • Children with spina bifida face complex clinical care challenges.

Conclusions:

  • Spina bifida necessitates a comprehensive understanding of its multisystemic effects.
  • Effective management requires addressing diverse impairments and clinical issues.
  • Multidisciplinary care is crucial for optimizing outcomes in children with spina bifida.

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