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Related Experiment Video

Updated: May 12, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

Spina bifida grown up.

Gregory S Liptak¹, Kimberlee Garver, Nienke P Dosa

¹Department of Pediatrics, Golisano Children's Hospital, Upstate Medical University, Syracuse, NY 13210, USA.

Journal of Developmental and Behavioral Pediatrics : JDBP

|April 11, 2013

Summary

Most adults with spina bifida require ongoing medical care, including screenings for common diseases and management of condition-specific complications. Specialized follow-up is crucial for optimal health outcomes.

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Area of Science:

Neurology
Urology
Public Health

Background:

The demographic of individuals with spina bifida has shifted, with the majority now being adults.
This necessitates a transition in healthcare focus from pediatric to adult-centered management.

Purpose of the Study:

To outline essential components of healthcare delivery for adults with spina bifida.
To highlight common health conditions and spina bifida-related complications requiring surveillance and management.

Main Methods:

This is a review and synthesis of current knowledge regarding adult spina bifida care.
Recommendations are based on established medical guidelines and clinical expertise.

Main Results:

Adults with spina bifida require routine screening for hypertension, hyperlipidemia, and cancer.
Management should address spina bifida complications: pressure sores, lymphedema, sexual dysfunction, infertility, and hydrocephalus.
Chiari-related symptoms like sleep apnea and urologic/renal dysfunction are common and require attention.

Conclusions:

Comprehensive adult spina bifida care necessitates regular specialist follow-up (urology, neurosurgery, physiatry).
Healthcare providers must recognize the impact of executive dysfunction and nonverbal learning disabilities on self-management, independence, and employment.