SPINA BIFIDA-PROGNOSTIC FACTORS

SUMMARY

1. ASIA scoring is not validated in spina bifida.

GOOD PROGNOSTIC FACTORS
2. Lower anatomical lesions, better prognosis if L2 and below, especially below L5. L4-L5 lesions tended to walk 57-90% of the time. Sacral lesions tended to walk mostly^[1]
.

3. No hydrocephalus.

4. Absence or milder severity of Chiari II malformation.

Reference(s)

↑ Chicago longitudinal study of 118 children born with spina bifida 1975-1979.

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.

[1] Chicago longitudinal study of 118 children born with spina bifida 1975-1979.

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