Spina bifida cystica in northern Nigeria

At the Ahmadu Bello University Hospitals in northern Nigeria 152 boys and 160 girls with spina bifida cystica were registered from 1971 to 1985. Only 21% of the patients were registered at the hospital within 24 h of birth; 90% had been delivered at home and without antenatal care. The malformation occurred in the lumbar or lumbosacral region in 75% of cases. Meningomyeloceles comprised 81%. Surgical closure was performed by general surgeons in 112 (36%) of the patients mainly for nursing care and social reasons. Of the children, 56 died in the hospital, 33 moved and 166 were lost to follow-up at 1 month. Only 8 were seen up to 1 year but 4 have lived beyond 4 years. This series serves as a baseline for comparison with future experience in this part of the world.