Treatment Approaches
Prenatal Management: In cases of prenatal diagnosis of spina bifida, prenatal surgery may be offered to repair the spinal defect before birth, potentially reducing the severity of neurological deficits and improving outcomes. Prenatal counseling and support are also crucial for expectant parents facing a diagnosis of spina bifida.
Surgical Intervention: For infants born with spina bifida, surgical repair of the spinal defect is often performed shortly after birth to prevent infection and protect the exposed spinal cord. This procedure, known as closure of the neural tube defect, aims to preserve neurological function and prevent further damage to the spinal cord.
Orthopedic Management: Many patients with spina bifida experience orthopedic complications such as spinal deformities, joint contractures, and muscle weakness. Orthopedic interventions, including bracing, orthotic devices, and surgical correction of deformities, may be recommended to improve mobility and prevent secondary complications.
Neurosurgical Interventions: Some patients with spina bifida may require additional neurosurgical procedures to manage complications such as hydrocephalus (accumulation of cerebrospinal fluid in the brain), tethered spinal cord, or Chiari malformation (malformation of the brainstem).
Rehabilitative Therapy: Physical therapy, occupational therapy, and other rehabilitative interventions play a crucial role in optimizing functional abilities, promoting independence in activities of daily living, and enhancing quality of life for patients with spina bifida.