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Doctor insights on: Spina Bifida Repair

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Dr. Thomas Inwood
4 Doctors shared insights

Spina Bifida Repair (Overview)

There are many degrees of spina bifida, but "repair" usually refers to closure of a myelomeningocele. In these infants, the spinal cord fails to close into a tube completely and remains open and attached to the skin on the back. It must be repaired within several days of birth by untethering the cord from the skin and constructing several layers to close. The defect.


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What is the definition or description of: spina bifida repair?

What is the definition or description of: spina bifida repair?

Closure of defect: There are many degrees of spina bifida, but "repair" usually refers to closure of a myelomeningocele. In these infants, the spinal cord fails to close into a tube completely and remains open and attached to the skin on the back. It must be repaired within several days of birth by untethering the cord from the skin and constructing several layers to close. The defect. ...Read more

Dr. Thomas Inwood
4 Doctors shared insights

Spina Bifida Repair (Overview)

There are many degrees of spina bifida, but "repair" usually refers to closure of a myelomeningocele. In these infants, the spinal cord fails to close into a tube completely and remains open and attached to the skin on the back. It must be repaired within several days of birth by untethering the cord from the skin and constructing several layers to close. The defect.


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Did medical science find a way yet to repair the neural damage caused by spina bifida?

Spina bifida: We are a long way away from repairing the damage due to a myelomeningocele or spina bifida - to repair the damage one has to be able to regenerate the damaged nerve tissue and then get it to perform the neurological function that it is suppose to do - it will be sometime before that happens. ...Read more

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Why do spina bifida patients have a myelomeningocele repair later?

Why do spina bifida patients have a myelomeningocele repair later?

Myelomeningocele: Usually the repair of a myelomeningocele is delayed several days after birth to ensure that the child is stable for surgery and to also get a better assessment of potential neurologic deficits. As an adult, some patients develop spinal cord symptoms from tethering of the spinal cord prompting a procedure to release the tension on the spinal cord. ...Read more

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Why is it that spina bifida patients have a myelomeningocele repair later in life?

Spina bifida: Myelomeningoceles are almost always repaired within the first couple of days of life. The exception to that is unavailability of a surgeon to do it young leading to a later repair. The other situation where the family does not want it repaired. ...Read more

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I'm aware that spina bifida patients usually have the repair right at birth but why would they wait until later like age 8 to have the repair?

Spina bifida: Repair is typically done at birth, a delay repair would be done with there are no symptoms and full thickness skin coverage over the defect. A repair at age 8 likely means the child was becoming symptomatic, most likely a tethered cord syndrome. ...Read more

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Later side afects of occult spina bifida?

Later side afects of occult spina bifida?

No: Spina bifida occulta results from failure of the two lamina of one vertebra to make a solid bony fusion. The defect is generally bisecting the spinous process vertically. No instability is present. No neurologic dysfunction is present because neural elements are not affected. But associated neurological problems which may be symptomatic are more common in association with spina bifida occulta. ...Read more

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What is the definition or description of: Spina bifida?

Spina bifida: Spina bifida is a neural tube birth defect. It is causing defects in spinal cord & bones of spine. See: http://www. Mayoclinic. Org/diseases-conditions/spina-bifida/basics/definition/con-20035356 ...Read more

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What is the fastest way to get info on baby that might have spina bifida?

What is the fastest way to get info on baby that might have spina bifida?

Diagnosis?: If your question means how does one get diagnosis of spina bifida during pregnancy, a well-performed ultrasound can provide that information as early as the second trimester. Amniotic fluid can have elevated enzymes associated with spina bifida which requires removing fluid from the uterus & some risk. This is slower but provides complementary information to ultrasound in questionable cases. ...Read more

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I have spina bifida and am in desparite need of a urosurgeon preferably in illinois but I will travel.?

I have spina bifida and am in desparite need of a urosurgeon preferably in illinois but I will travel.?

Patient advocacy grp: Patient advocacy groups are often a very useful resource; others with the same condition share their experience and insights with others affected with the same condition. Try starting with http://www. Sbail. Org/clinics. Html and http://www. Spinabifidaassociation. Org/site/c.evKRI7OXIoJ8H/b.8029583/k.C4E9/Clinics. Htm. Also try NIH website http://www. Ninds. Nih. Gov/disorders/spina_bifida/spina_bifida. Htm ...Read more

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Are men with spina bifida less fertile?

Are men with spina bifida less fertile?

Maybe: It depends on the level of the spina bifida. Low lesions (sacral) can lead to loss of ejaculation. If the man is in a wheel chair, sperm quality can also be affected. Many treatment options are available with a male fertility specialist. ...Read more

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What causes meningocele / spina bifida?

What causes meningocele / spina bifida?

Genetics usually: Altho there is high correlation with genetics causing meningocele / spina bifida, drugs (especially chemotherapeutics) and low blood folate (folic acid) during gestation or abdominal / pelvic irradiation during pregnancy are known causes. ...Read more

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What is the reason someone gets spina bifida?

Spina Bifida: Combination of Genetic & Environmental risk factors, such as Family history of Neural tube defects & Folic acid deficiency, White or Hispanic race, Female sex, some anti-seizure medications taken during pregnancy such as Depakote, Obese Diabetic women who get pregnant & their Diabetes not controlled, & women who develop Fever during pregnancy. ...Read more

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Is meningocele and spina bifida the same thing?

Is meningocele and spina bifida the same thing?

Related terms: Spina bifida is a fancy way to say that a spine segment or segments did not close along their backside. Meningocoel is a term for the spinal cord & elements that would balloon out the back if the spine did not close and contain them. People often use the term to describe a similar process. The most common location is at the base of the spine, but both could happen in the neck also. ...Read more

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Why are there more cases of spina bifida in the uk?

Why are there more cases of spina bifida in the uk?

Genetics plus: The most important reason is genetic predisposition. However it is quite likely that unknown environmental causes are important. Known environmental causes of spina bifida are widespread and probably would be effective in many countries, not just the uk. ...Read more

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Can spina bifida cause your urine to have a foul odor?

Uti: Patients with spins vigils may have urinary tract abnormalities, including incomplete emptying of the bladder and vesico urethral reflux, which can lead to urinary tract infections. You should consult your doctor for evaluation and treatment as soon as possible. ...Read more

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What is the range of ability for people with spina bifida?

Missing information: Need to know the level of the Neural Tube Defect, other brain anomalies along with hydrocephalus, underlying genetic or other medical conditions, level of cognition, motor, bowel & bladder function, non-verbal learning disabilities with autistic-like signs & symptoms & so forth. See http://www. Spinabifidaassociation. Org/site/c.evKRI7OXIoJ8H/b.8028963/k.BE67/Home. Htm ...Read more

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What is the difference between spina bifida and anencephaly?

What is the difference between spina bifida and anencephaly?

The position: The developing brain and spinal cord go through a predictable pattern. The primitive neural tissue folds on itself to begin forming the spinal elements. It actually closes the fold starting in the middle and progresses toward the top and bottom. Like closing a zipper from the middle out. If the fold doesn't close at the tom, anencephaly develops. If it doesn't close at the bottom. Spina bifida. ...Read more

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I have occult spina bifida of s1? What problems over lifetime?

I have occult spina bifida of s1? What problems over lifetime?

Probably not much: Spina bifida oculta is often an x-ray finding that causes no major symptoms. However spina bifida can cause symptoms such as weakness of the legs and bladder problems and occasionally a characteristic loss of the sensation in the so called 'saddle' area. ...Read more

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What is the average life expectancy of a male with spina bifida?

What is the average life expectancy of a male with spina bifida?

Depends: It depends on whether we are talking about spinabifida occulta, meningocele or myelomeningocele. If we are talking about myelomeningocele it depends on how high the lesion is and whether or not there is an arnold-chiari malformation in the brain. ...Read more

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What would the life expectancy for a person with spina bifida be?

Depends: A lot depends on the presence of comorbidities. Some patients with spina bifida are wheel chair bound or have issues with bladder function. If these lower tract symptoms are present there is a higher risk of septic complications. With good care and good compliance there should be no limit. ...Read more

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Mild spina bifida getting worse. Could it be a circulation problem?

Please be specific: Spina bifida & circulation problems r not related. Problems associated with spina bifida are neurosurgical (back pain, nerve compression etc) orthopedic (gait, leg & foot broblems) or urologic (urinary incontince) & taken care of by specialists in those areas. Circulation problems r related to reduced blood flow to certain areas from spasm (raynaud's) kinked or compressed blood vessels & cause pain. ...Read more

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I have an occult spina bifida of s1. Will that affect me as a woman?

I have an occult spina bifida of s1. Will that affect me as a woman?

No: This will generally cause no symptoms or problems for you in the future. ...Read more

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Chances of a woman with spina bifida having a baby with spina bifida?

Depends on genetics: The epidemiology of this is different depending on your race and culture and where you live. So it is mostly genetic and also dependent on if you have Folic Acid deficiency in your diet. ...Read more

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Can somebody with spina bifida who has never needed a shunt need one as an adult?

Can somebody with spina bifida who has never needed a shunt need one as an adult?

Maybe.: Yes, it is possible. Consult with a neurosurgeon if you would like more information. ...Read more

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What are the chances of a woman with spina bifida having a baby with spina bifida.?

What are the chances of a woman with spina bifida having a baby with spina bifida.?

Spina bifida: A woman who has spina bifida has a 1 - 5% risk of having a baby with spina bifida. Taking Folic Acid at higher than usual amounts for at least two months prior to conception will decrease the risk of having a baby with spina bifida. ...Read more

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What is the latest research into the links between congenital talapes and spina bifida?

Congenital talapes: Congenital talapes or club foot is not uncommonly associated with spina bifida or myelomeningocele - it is related to how severe the severe and the level of the myelomeningocele - the higher the problem within the spinal cord the higher risk for club foot. ...Read more

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I've got spina bifida andi was wondering since I don't have much feeling, how can I get an erection?

I've got spina bifida andi was wondering since I don't have much feeling, how can I get an erection?

ED: Depending on the level and severity of your spina bifida, you may still be able to obtaing erections by several different methods: medications like viagra, (sildenafil) Cialis or levitra: penile injections, trimix or caverjet; vaccum erection device (ved), intraurethral suppositories (muse) and if everything fails, a penile prosthesis. ...Read more

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What's a good way for someone in a wheelchair to lose weight? I don't eat much but I have spina bifida?

Food and exercise: Choosing the right foods is more important than eating small amounts of unhealthy and "fattening" foods. Speak to a registered dietitian about the best foods for you. Also, if you can get into a swimming pool for exercise, that would be healthy and helpful for you as well. ...Read more

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Question for adults with spina bifida. Can they have loss of motor function or inability for orgasm if low?

Question for adults with spina bifida. Can they have loss of motor function or inability for orgasm if low?

Yes: Spina bifida oculta usually has no neurological deficit, norma, . 10% of population. Open & close spinal bifida usually will have motor and sensory deficit like para/quadriplegia, decrease sensation/orgasm, respiratory problem (due to chiari malformation. Intelligence usually not affected. ...Read more

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What to do if I have spina bifida and I'm in a wheelchair. What is the best and healthiest way for me to lose weight?

Spina bifida: There is not an easy answer but the best bet is to work with a physical therapist and a nutritionist to sort out the therapy and the diet needed for a reasonable weight loss plan ...Read more

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I am a 31 year old man with spina bifida & I find the when I go to the restroom in the morning very little urine comes out of me. Is that normal?

I am a 31 year old man with spina bifida & I find the when I go to the restroom in the morning very little urine comes out of me. Is that normal?

Spinal Slowdown: This is not unusual in this type of condition since the nerves that control the bladder could be affected. In such a situation the ability to relax the bladder neck muscle effectively in coordination with the contraction of the bladder wall muscle to begin urination may be impaired. As a result the sensation to void could be affected as well as the ability to empty the bladder completely. ...Read more

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I have spina bifida and can I conceive?

Spina bifida: Spina bifida is a very broad spectrum of disorders. In most cases it does not prevent conception but if you have it you should have a prenatal evaluation to determine the severity of it and whether you might need to medications such as folic acid before conceiving. ...Read more

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What defines a spina bifida as spina bifida occulta?

What defines a spina bifida as spina bifida occulta?

Skin covering: Spina bifida occulta, like open spina bifida, is a congenital malformation involving a problem with closing of the neural tube during development. However, there is not exposed neural tissue in spina bifida occulta. There can be tracts connecting the skin to the spinal cord, or lipomas or bands (tight filum) which can cause neurologic deficit. There can also be bony issues. ...Read more

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Sacral dimple could I have spina bifida, how to know?

Sacral dimple could I have spina bifida, how to know?

Wouldn't worry: If you are 43 years old and have not had trouble with it at this point, I would not worry about it. All that being said, an MRI is the test of choice to evaluate the spinal cord and neural canal. ...Read more

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Chiropractor thinks I might have spina bifida, what to do?

Chiropractor thinks I might have spina bifida, what to do?

Run away. Very fast.: As a neurologist, i'm here to tell you: Your chiropractor has no more real knowledge of the human body, health or disease than you do. I recently was an expert witness in a lawsuit about a case of critical compression of the spinal cord in the neck that left a man quadriplegic; & his chiropractor MISSED it. By a mile. Was ABSOLUTELY CLUELESS about it, even afterward! Go find a REAL doctor. ...Read more

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Nursing daignosis of spina bifida in neonate as pryority?

Nursing daignosis of spina bifida in neonate as pryority?

Do your homework: The site is not designed to be a shortcut to answer your homework. You need to read through your nursing texts, assimilate the information and come up with a list reflecting the jargon of your texts. Anything off the site will not fit your instructors requirements & they will know you took a shortcut. ...Read more

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What is spina bifida?

Spinal cord disorder: The spinal cord forms as an open tube that starts to close from the middle out to the two ends. The entire closure is done by about ten weeks. If the closure is not normal than a condition known as spina bifida occurs. Open spina bifida is when there is an opening in the spinal column to the skin. Closed spina bifida is when there is an opening in the spinal column but it has a thin cover. ...Read more

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What is spina bifida?

What is spina bifida?

Spina Bifida: Spina bifida is a birth defect where the spine does not close around the spinal cord during development. This may be as small as a small gap between the 2 sides, with no buldging out of membranes or nerves, & no associated handicaps, to a large defect with part of the cord exposed outside the body, leading to paralysis and other neurological problems. Folic acid decreases the risk. ...Read more

Dr. Edward Smith
224 Doctors shared insights

Spina Bifida (Definition)

A birth defect involving incomplete development of the spinal cord or its coverings. The exact cause of the condition is unknown, but a risk factor appears to be low levels of folic acid in a woman's body before ...Read more