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Multidisciplinary spina bifida clinic: the Chicago experience.
Nathan A Shlobin1, Elizabeth B Yerkes2, Vineeta T Swaroop3
1Department of Neurological Surgery, Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Summary
Multidisciplinary care is essential for managing open spina bifida (SB), a complex birth defect. Specialized clinics provide coordinated, patient-centered care, improving outcomes for individuals with SB.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Rehabilitation Medicine
Background:
- Open spina bifida (SB) is a severe congenital central nervous system malformation requiring comprehensive management.
- Affected individuals face challenges across neurological, musculoskeletal, genitourinary, and gastrointestinal systems, alongside significant psychosocial impacts.
- Optimal care necessitates a coordinated, multidisciplinary approach involving numerous specialists.
Purpose of the Study:
- To describe the longitudinal experience of a multidisciplinary Spina Bifida Center.
- To highlight advancements in patient care stemming from this integrated model.
- To present the center as a model for effective, patient-centered SB management.
Main Methods:
- Longitudinal review of patient care within a specialized multidisciplinary Spina Bifida Center.
- Analysis of the integrated care model's impact on patient outcomes.
- Case study of a pioneering institution in multidisciplinary SB care.
Main Results:
- The multidisciplinary Spina Bifida Center has provided coordinated care for individuals with open SB.
- This integrated model has facilitated advancements in managing the complex needs associated with SB.
- The clinic exemplifies effective, patient-centered, and organized care delivery.
Conclusions:
- Multidisciplinary clinics are the established standard for optimal open spina bifida (SB) care.
- The described center demonstrates the success of a comprehensive, team-based approach.
- This model ensures effective and patient-centered management for individuals with SB throughout their lives.

