Abstract

Congenital malformations of the spine resulting in grotesque protrusion of the intraspinal structures, with frequent associated paralysis of the bladder, rectum, and legs, are distressing and extremely serious lesions about which we have good reasons for acquiring more information. Scientific ignorance of such problems may lead to life-long blundering care of the patient from birth to death. The ever-lasting urinary and fecal incontinence, when present, can seldom be continually treated by a physician who has intimate knowledge of or experience with the neurophysiological abnormalities associated with the disorder because of its rarity. One of the most complete studies of this subject was made by Frazier 1 who made the pertinent comment that spina bifida occurs approximately once in every thousand births, and of the infants thus afflicted, from 80 to 90% die during the first year, many even within a few days of birth, and of the small percentage remaining,

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