5 Major Spina BifidaNeurosurgical IssuesSpina Bifida Educational Resourcehttp://www.spinabifida.net
What does “Spina Bifida” mean?• Multiple related disorders• Name refers to appearance on plainXray: bifid (=split) spine• ...
What does “Spina Bifida” mean?• Some skin-covered and some not• If not skin-covered, associated withbrain malformation (Ch...
Closure ofNeural Tube1. Sheet of ectoderm2. Neural “groove”forms down center3. Edges come togetheras a tube4. Future spina...
Types of Spina Bifida• Spina bifida aperta aka”open”• Myelomeningocele (MM)• Most common permanently disabling birthdefect...
Spina Bifida Aperta• Decreased incidence last 50 years• Incidence 3.2/10,000 births• Likely due to many factors:• Maternal...
Spina Bifida ApertaMyelomeningocele
Small Neural Placode
Large Myelomeningocele Sac
Intra-op View
Don’t forget the basics!
Any Questions?Visit http://www.spinabifida.net
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5 Major Spina Bifida Neurosurgical Issues

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Learn more about Spina Bifida at http://www.spinabifida.net

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5 Major Spina Bifida Neurosurgical Issues

  1. 1. 5 Major Spina BifidaNeurosurgical IssuesSpina Bifida Educational Resourcehttp://www.spinabifida.net
  2. 2. What does “Spina Bifida” mean?• Multiple related disorders• Name refers to appearance on plainXray: bifid (=split) spine• All involve failure of the neural tube todisconnect from the skin, form a tube,and close correctly
  3. 3. What does “Spina Bifida” mean?• Some skin-covered and some not• If not skin-covered, associated withbrain malformation (Chiari II)
  4. 4. Closure ofNeural Tube1. Sheet of ectoderm2. Neural “groove”forms down center3. Edges come togetheras a tube4. Future spinal cordbreaks away from skin
  5. 5. Types of Spina Bifida• Spina bifida aperta aka”open”• Myelomeningocele (MM)• Most common permanently disabling birthdefect in US• Most common non-lethal CNS birth defect• Cord non-functional at and below lesion• Focus of today’s talk
  6. 6. Spina Bifida Aperta• Decreased incidence last 50 years• Incidence 3.2/10,000 births• Likely due to many factors:• Maternal nutrition• Folate• Prenatal diagnosis/selectivetermination
  7. 7. Spina Bifida ApertaMyelomeningocele
  8. 8. Small Neural Placode
  9. 9. Large Myelomeningocele Sac
  10. 10. Intra-op View
  11. 11. Don’t forget the basics!
  12. 12. Any Questions?Visit http://www.spinabifida.net

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