Qi Xiang,Zou Zhewei..Diagnosis and treatment of congenital spinal bifida.[J].Journal of Clinical Pediatric Surgery,,18():91-94.
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Diagnosis and treatment of congenital spinal bifida.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第18卷 Number: 2019 02 Page: 91-94 Column: 专家笔谈 Date of publication: 2019-02-25
Author(s):
Qi Xiang; Zou Zhewei.
Department of Neurosurgery,Affiliated Childrens Hospital,Capital Medical University,Beijing 100045,China.
Keywords:
Spinal Dysraphism;  Diagnosis;  Therapy
CLC:
R729 R651.2
Document code:
A
Abstract:
Congenital spinal bifida is the most common type of neural tube defects.Much progress has been made in recent years.However,dysknesia and defecating dysfunction still occur postoperatively in some complicated patients.An early diagnosis of pregnancy is made through etiological studies and prenatal ultrasound examinations.Basic surgical principles are protecting spinal and nerve roots and releasing tethered cord sufficiently.Intraoperative neuroelectrophysiological monitoring is necessary.Pre/postoperative urodynamic and ultrasound examinations of urinary system are essential evaluations.Lower limb deformities related with neural tube defects should be treated timely to improve patient qualityoflife.This article mentions the controversies regarding operative age and intraoperative onset of occult or asymptomatic tethered cord syndrome.For congenital spinal bifida patients,early diagnosis and treatment,comprehensive evaluations,longterm followups and timely treatment of complications are essential for better outcomes.
Last Update: 2019-02-26