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Multidisciplinary Management of Children with Occult Spinal Dysraphism: A Comprehensive Journey from Birth to

Ignazio G Vetrano1,2, Arianna Barbotti1, Alessandra Erbetta3

  • 1Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.

Children (Basel, Switzerland)
|October 27, 2022
PubMed

Insights

A multidisciplinary team approach improves outcomes for children with occult spinal dysraphism (OSD). This coordinated care model streamlines management from birth through adulthood, enhancing efficiency and patient satisfaction.

Area of Science:

  • Pediatric Neurosurgery
  • Developmental Neurology
  • Urology
  • Orthopedics

Background:

  • Occult spinal dysraphism (OSD) encompasses developmental failures impacting the genitourinary tract, spine, and lower limbs, leading to progressive neurological decline.
  • Managing OSD requires lifelong care, often involving multiple specialists, posing challenges for patients and families.
  • Current fragmented care models can lead to coordination issues, appointment delays, and decreased efficiency.

Purpose of the Study:

  • To evaluate the impact of a multidisciplinary team (MDT) approach on the outcomes of children with OSD.
  • To analyze the effectiveness of MDT management across different age groups, from infancy to adulthood.
  • To propose a schematic plan for implementing and advocating for MDT care in OSD.

Main Methods:

  • Analysis of a cohort of 141 children with OSD who underwent neurosurgical procedures.
  • Implementation of a multidisciplinary team including pediatric neurosurgeons, urologists, neurologists, and orthopedists.
  • Evaluation of patient outcomes and care efficiency in relation to the MDT approach.

Main Results:

  • The MDT model facilitated simultaneous consultations, ensuring comprehensive patient assessment.
  • This integrated approach prevented coordination problems and appointment delays, optimizing care delivery.
  • The study demonstrated improved efficiency, cost-effectiveness, and enhanced parental satisfaction.

Conclusions:

  • A multidisciplinary team approach is crucial for effective OSD management.
  • Integrated care models improve outcomes and patient experience for individuals with OSD.
  • The findings support the establishment of a standardized MDT framework for OSD care.

Keywords:
conus lipomamultidisciplinary teamoccult dysraphismtethered cord syndrome

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