Spina bifida in the pediatric surgery Department of Fez
1 Departement of pediatric surgery, visceral and urology, Hassan II University Hospital of Fez, Morocco.
2 Faculty of medecine, pharmacy and dental médecine, Sidi Mohamed BenAbdellah University of Fes, Morocco.
Research Article
World Journal of Advanced Research and Reviews, 2023, 18(01), 1090–1092
Article DOI: 10.30574/wjarr.2023.18.1.0711
Publication history:
Received on 11 March 2023; revised on 21 April 2023; accepted on 24 April 2023
Abstract:
Introduction: Spina bifida is one of the most common neural tube defects due to its serious repercussions: neurologic, urologic, orthopaedic and others to varying degrees requiring multidisciplinary management.
Patients and methods: This is a retrospective descriptive study of 202 patients managed in the pediatric surgery department of the Hassan II University Hospital of Fez, during an 8-year period from January 2014 to January 2021.
Results: The annual incidence of spina bifida was 40 cases/year with a male predominance. The main site of the malformation is at the lumbar and lumbodorsal level in 68%. The clinical examination was abnormal in almost 64%. Hydrocephalus was found in 83%. Transfontanellar ultrasound and CT scan were performed in all our patients, MRI in 85 %. All the patients had a surgical cure of the spina bifida, the patients with hydrocephalus had a ventriculo-peritoneal shunt. The short term outcome was good in 79%.
Conclusion: Spina bifida is a serious pathology, it can frequently lead to functional and vital prognosis without forgetting the psychological one. The prognosis is mainly generated by the delay of management and the presence of associated complications.
Keywords:
Spina bifida; Surgery; Complication; Department
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