Spina Bifida Flashcards
What is Spina Bifida?
Congenital tube defect, typically occurring in the lumbar spine.
What is Spina Bifida Occulta?
Incomplete fusion of the posterior vertebral arch with no neural tissue protrusion
- Tuft of Hair
- Dimple
What is Spina Bifida Meningocele?
Incomplete fusion of the posterior vertebral arch with neural tissue/meninges protruding outside neural arch
What is Spina Bifida Myelomeningocele?
Incomplete fusion of the posterior vertebral arch with both meninges and spinal cord protruding outside of the neural arch
Herniation of (meninges, CSF and spinal cord)
What level of injury is typical with Spina Bifida?
L5-S1, injuries to structures at this level and below
Low level of what substance has been attributed to Spina Bifida?
Low Levels of Folic Acid
Best way to prevent neural tube defects during pregnancy?
Taking recommended amounts of folic acid during the first 6 weeks of pregnancy
Neurological Signs and Symptoms?
- Motor and Sensory loss below the level of the defect.
- Hydrocephalus
- Arnold-Chiari Type II malformation
- Bowel and Bladder Dysfunction
What orthopedic signs and symptoms are present?
- Club Foot (Talipes-Equinovarus)
- Scoliosis
Surgical interventions necessary?
- Close neural tube defect
- Shunt placement for hydrocephalus
A baby with myelomeningocele immediately after birth will have an increased risk of?
- Meningitis
- Hypoxia
- Hemmorhage
Physical Therapy?
- Developmental Milestones
- Family education; handling and positioning
- WC prescription
- Adaptive and Assistive device selection
Exposure to what has been linked to SB?
Teratogens:
- Alcohol
- Valproic Acid
What is Arnold-Chiari Type II?
Cerebellum and Brainstem pushed through the Foramen Magnum
What Allergy is Prevalent in SB?
Latex Allergies
