ISSN: 2044-9038 (Print) 2044-9046 (Electronic)

Clinical Practice

Spinal Bifida Impact Factor

 Spina bifida may be a congenital anomaly that happens when the spine and medulla spinalis don't form properly. it is a sort of ectoderm defect. The ectoderm is that the structure during a developing embryo that eventually becomes the baby's brain, medulla spinalis and therefore the tissues that enclose them. Before birth, if a biopsy or amniocentesis finds a high level of alpha-fetoprotein (AFP), there's a better risk of rachischisis .Ultrasound examination can also detect the matter . Medical imaging can confirm the diagnosis after birth. Spina bifida may be a sort of ectoderm defect associated with but distinct from other types like anencephaly and encephalocele. Most cases of rachischisis are often prevented if the mother gets enough folate before and through pregnancy. Adding vitamin Bc to flour has been found to be effective for many women. Open rachischisis are often surgically closed before or after birth. A shunt could also be needed in those with hydrocephalus, and a tethered medulla spinalis could also be surgically repaired. Devices to assist with movement like crutches or wheelchairs could also be useful. Urinary catheterization can also be needed. About 15% of individuals have rachischisis occulta. Rates of other sorts of rachischisis vary significantly by country, from 0.1 to five per 1,000 births. on the average , in developed countries, including the us , it occurs in about 0.4 per 1,000 births. In India, it affects about 1.9 per 1,000 births. Caucasians are at higher risk compared to black people. The term rachischisis is Latin for "split spine".  

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