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Understanding Spina Bifida

Spina bifida ("open spine") is a birth condition characterized by an incomplete closure of the spine. Children born with spina bifida may have varying degrees of muscle paralysis, bladder and bowel problems, loss of skin sensation and spine and limb problems.

Spina bifida is not rare. It occurs in one of every 1,000 children born. However, with help from parents and a team of doctors, therapists, teachers and others, individuals with spina bifida can achieve independence and participate fully in their communities.

Although spina bifida occurs in different forms and has varying degrees of effect, most babies born with the condition will require surgeries to correct spinal, foot or leg problems; shunt surgery to drain fluid from the brain; application of techniques to control bladder and bowel function; and braces and other equipment to assist in walking. Nevertheless, advances in treatment and management have made it possible for children born with spina bifida to live long and productive lives.

Understand

There are three broad types of Spina bifida:

Most babies with spina bifida develop hydrocephalus, an accumulation of fluid in the brain. If fluid is not drained, the pressure buildup can cause brain damage, seizures or blindness.

Parents who have one child with spina bifida, or have spina bifida themselves, increase their chances of having a child with spina bifida.

Causes

Spina bifida has been linked to mothers who do not receive sufficient amounts of folic acid prior to pregnancy. 
The Agent Orange Benefits Act affords benefits to Vietnam veterans' whose children have spina bifida. Benefits include health care, a monthly allowance and vocational training and rehabilitation services. These benefits are the result of a finding which associates veterans' exposure to dioxin with an increased incidence of spina bifida among their children.

Management

As type and level of severity differ among people with spina bifida, each person with the condition faces different challenges and may require different treatments.

The best way to manage spina bifida is with a team approach. Members of the team may include neurosurgeons, urologists, orthopedists, physical and occupational therapists, orthotists, psychologists and medical social workers.

Treatments

Early intervention is important for those children who have a history of hydrocephalus as they sometimes experience learning problems. These problems include difficulty paying attention, expressing or understanding language, organizing, sequencing and grasping reading and math. Early intervention is very useful in helping these children prepare for school. 

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