spina bifida Flashcards
1
Q
causes of spina bifida
A
- maternal diabetes
- maternal hyperthermia
- folate deficiency
- sodium valproate
2
Q
types and definition of spina bifida
A
myelodysplasia - congenital disorders that lead to a failure of closure of the fetal spinal cord with anatomical and neurological impairement
- spina bifida oculta - defect in verebral arch - cord/ meninges confined
- meningocele - protuding sac without neutral elements
- myelomeningocele - protruding sac and contents
- rachischisis - neural elems no covering
3
Q
spina bifida presentation
A
scoliosis
- resistent to bracing
- progressive curve
clubfoot
- rigid
- difficulty casting
hip dislocation
- at L3 level - unopposeed hip flexion and adduction
prognosis
level above L3 - confined to wheelchair
L5 - independent ambulation
