Abstract

The outcome of 117 consecutive cases of open spina bifida treated unselectively from birth between 1963 and 1970 and reviewed 16-20 years later is reported from the Department of Urology, Addenbrooke’s Hospital, Cambridge, England.

Highlights

  • The outcome of 117 consecutive cases of open spina bifida treated unselectively from birth between 1963 and 1970 and reviewed 16-20 years later is reported from the Department of Urology, Addenbrooke' s Hospital, Cambridge, England

  • The sensory level at birth provided a yardstick for predicting the range of handicap into adult life and was useful in counseling parents concerning the child's long-term prognosis

  • Thoracic scoliosis and horseshoe kidney that may be recognized during fetal life are associated with sensory levels in the thoracic region and are predictive of a poor prognosis

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Summary

Introduction

The outcome of 117 consecutive cases of open spina bifida treated unselectively from birth between 1963 and 1970 and reviewed 16-20 years later is reported from the Department of Urology, Addenbrooke' s Hospital, Cambridge, England. The sensory level at birth provided a yardstick for predicting the range of handicap into adult life and was useful in counseling parents concerning the child's long-term prognosis. With a sensory level above Til the disability would be severe, with no prospect of walking or of continence and with a 10% chance of independent living.

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