{"id":11879,"date":"2016-06-09T07:15:31","date_gmt":"2016-06-09T06:15:31","guid":{"rendered":"https:\/\/www.neurocirugiabarcelona.com\/patologias\/neurocirugia-pediatrica\/espina-bifida\/"},"modified":"2019-01-26T12:51:32","modified_gmt":"2019-01-26T11:51:32","slug":"spina-bifida","status":"publish","type":"page","link":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/","title":{"rendered":"Spina bifida"},"content":{"rendered":"<p>One of the most frequent congenital malformations are those derived from defects in neural tube closure and cover a wide range of presentations usually called <strong>spina bifida<\/strong> or <strong>spinal dysraphism<\/strong>. \u00a0 Characteristically a first distinction is made between open and occulta spina bifida.<br \/>\n<img decoding=\"async\" loading=\"lazy\" class=\"alignright wp-image-10876\" src=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-1-300x264.jpg\" alt=\"Espina b\u00edfida\" width=\"350\" height=\"308\" srcset=\"https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-1-300x264.jpg 300w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-1-768x675.jpg 768w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-1.jpg 1024w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/p>\n<ul>\n<li><strong>Closed spinal dysraphy<\/strong> is the mildest form and the skin is unscathed or presents so-called \u201ccutaneous stigmata\u201d. It is associated with malformation of one or more vertebrae (incomplete closure) and involves soft tissues (fat, muscle, meninges, etc.) to a various extent. They are not always symptomatic at birth but the clinical signs evolve during growth causing neurological symptoms associated with anchored marrow. It requires careful and multidisciplinary follow-up and, in some cases, surgical &#8220;untethering&#8221; is recommended.<\/li>\n<li><strong>Open spinal dysraphy\u00a0<\/strong>is evident at birth and consists of larger defects, with partial or incomplete skin coverage and extrusion of the spinal contents (meninges, medulla, nerve roots). It requires early surgical closure and follow-up of complications associated with the secondary spinal cord tethering. The most common neurological affectations are:\n<ul>\n<li>Motor disorders.<\/li>\n<li>Sensitivity disorders.<\/li>\n<li>Sphincteric disorders.<\/li>\n<li>Deformities of the lower extremities.<\/li>\n<li>Other disorders (Chiari, hydrocephalus, etc.)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>It is important to note that many children suffering from spina bifida lead a totally normal life with very few restrictions compared to their companions. Nevertheless the risk of decompensation during growth requires strict multidisciplinary control.<br \/>\n<img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-10878\" src=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-2-300x224.jpg\" alt=\"Espina b\u00edfida\" width=\"400\" height=\"298\" srcset=\"https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-2-300x224.jpg 300w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-2-768x573.jpg 768w, https:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-2.jpg 1024w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>One of the most frequent congenital malformations are those derived from defects in neural tube closure and cover a wide range of presentations usually called spina bifida or spinal dysraphism. \u00a0 Characteristically a first distinction is made between open and occulta spina bifida. Closed spinal dysraphy is the mildest form and the skin is unscathed &#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11841,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.11 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Spina bifida - Neurocirug\u00eda Barcelona<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spina bifida - Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"og:description\" content=\"One of the most frequent congenital malformations are those derived from defects in neural tube closure and cover a wide range of presentations usually called spina bifida or spinal dysraphism. \u00a0 Characteristically a first distinction is made between open and occulta spina bifida. Closed spinal dysraphy is the mildest form and the skin is unscathed ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/\" \/>\n<meta property=\"og:site_name\" content=\"Neurocirug\u00eda Barcelona\" \/>\n<meta property=\"article:modified_time\" content=\"2019-01-26T11:51:32+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.neurocirugiabarcelona.com\/wp-content\/uploads\/2016\/06\/Espina-bifida-1-300x264.jpg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/\",\"name\":\"Spina bifida - Neurocirug\u00eda Barcelona\",\"isPartOf\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\"},\"datePublished\":\"2016-06-09T06:15:31+00:00\",\"dateModified\":\"2019-01-26T11:51:32+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Pathologies\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Paediatric neurosurgery\",\"item\":\"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Spina bifida\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.neurocirugiabarcelona.com\/#website\",\"url\":\"https:\/\/www.neurocirugiabarcelona.com\/\",\"name\":\"Neurocirug\u00eda Barcelona\",\"description\":\"Tratamiento integral de las patolog\u00edas neuroquir\u00fargicas mediante una visi\u00f3n multidisciplinar\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.neurocirugiabarcelona.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Spina bifida - Neurocirug\u00eda Barcelona","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.neurocirugiabarcelona.com\/en\/pathologies\/paediatric-neurosurgery\/spina-bifida\/","og_locale":"en_US","og_type":"article","og_title":"Spina bifida - Neurocirug\u00eda Barcelona","og_description":"One of the most frequent congenital malformations are those derived from defects in neural tube closure and cover a wide range of presentations usually called spina bifida or spinal dysraphism. \u00a0 Characteristically a first distinction is made between open and occulta spina bifida. 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