Spina Bifida

Question 1

Neural tube defect causing neurologic dysfunction

Answer 1

Spina Bifida

Question 2

Which is the second most common birth defect?

Answer 2

Spina Bifida

Question 3

Incidence of Spina Bifida

Answer 3

used to be 1 in every 1000 live births

now is 3.4 in 10.000 live births

Question 4

spina bifida is linked to maternal lack of _______ in first trimester

Answer 4

folic acid

Also associated with valproic acid
(Seizure medication)

Question 5

What is the cause of spina bifida?

Answer 5

not known

Question 6

Spina Bifida AKA

Answer 6

Myelodysplasia

Question 7

Spinal defect diagnosed by the presence of an
external sac on the infant’s back that contains meninges and spinal cord tissue protruding through a dorsal defect in the vertebrae

Answer 7

Myelomeningocele

Question 8

An abnormal accumulation of cerebral spinal fluid (CSF) in the cranial vault

Answer 8

Hydrocephalus

Question 9

_____ % of children with spina bifida will develop hydrocephalus

Answer 9

90​%

• Shunt placed within first several days to 6 months

Question 10

Common to children with spina bifida, deformity of the cerebellum, medulla, and
cervical spinal cord. The posterior cerebellum is herniated downward through the foramen magnum

Answer 10

Chiari II Malformation

Question 11

“Sunset” sign of the eyes along with headaches, irritability, fever, nausea, increased spasticity can be sign of

Answer 11

shunt malfunction

Question 12

an abnormal widening of the central canal of the spinal cord

Answer 12

Hydromyelia

Question 13

disorder caused by tissue attachments that limit the movement of the spinal cord within the spinal column, associated degeneration in muscle function

Answer 13

Tethered Spinal Cord

Question 14

Spina bifida

Thoracic level lesion T6-T12

Answer 14

• No LE mm
• Frog-legged contracture (hip AB + ER)
• Night splints

Question 15

High lumbar level lesion: L1 - L3

Answer 15

• Hip flexion contracture
• Higher risk for hip dislocation
• Windblown posture
• Scoliosis