Abstract

Relation between sacral sparing and long term urological outcome in open spina bifida

Highlights

  • The Cambridge Cohort of 117 patients born with open spina bifida provide information on causes of death and outcome to age 40 with no loss to follow up

  • Sacral sparing was defined as intact sensation to pinprick in at least one dermatome in the saddle area S2S4

  • Urinary continence was closely related to sacral sparing at mean ages 4, 9 and 25

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Summary

Background

The Cambridge Cohort of 117 patients born with open spina bifida provide information on causes of death and outcome to age 40 with no loss to follow up. We previously showed survival and long term prognosis were related to sensory level. Aims To examine the influence of sacral sparing on urological outcome. Sacral sparing was defined as intact sensation to pinprick in at least one dermatome in the saddle area S2S4. In those with no sacral sparing: 19/42 (45%) compared with 2/26 (8% p = 0.001). Urinary continence was closely related to sacral sparing at mean ages 4, 9 and 25. At age 25 16/25 (64%) of those with sacral sparing were continent compared with 1/36 (3%) of the remainder

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