Spina Bifida Treatment in India

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What is Spina Bifida?

Spina Bifida is a common birth defect and a type of neural tube defect. It occurs when the spinal column fails to develop properly, resulting in a split or gap that can damage the nervous system. This condition arises during fetal development in the womb.

Spina Bifida can vary in severity. The mildest form, known as Spina Bifida Occulta, typically doesn’t cause issues and often requires no treatment. It is estimated to affect about 5-10% of the population.

There are more severe forms of Spina Bifida, which are less common :

Myelomeningocele : This is the most severe type, where a portion of the spinal nerves protrudes through an opening in the spine, causing damage to nerves and leading to challenges with walking, coordination, and bladder or bowel control. Babies born with myelomeningocele may have visible exposed nerves and require immediate medical attention.

Meningocele : In this type, spinal fluid leaks through an opening in the spine, forming a sac or cyst beneath the skin. This can result in a visible bulge but typically causes fewer neurological problems compared to myelomeningocele.

Spina Bifida affects approximately 1-2 per 1000 live births worldwide. While it doesn’t typically cause problems in infants, it can present challenges later in life, impacting daily activities and mobility.

Understanding the type and severity of Spina Bifida is crucial for early intervention and management, ensuring individuals receive appropriate medical care and support.

What causes of Spina Bifida?

The exact causes of Spina Bifida, a common birth defect, are not fully understood. However, experts believe it can result from a combination of genetic and environmental factors, including:

  • Uncontrolled diabetes in the mother : Women with unmanaged diabetes during pregnancy have a higher risk of having a child with Spina Bifida.

  • Folic acid deficiency during pregnancy : Adequate intake of folic acid, particularly in the early stages of pregnancy, is crucial in reducing the risk of Spina Bifida.

  • Exposure to certain chemicals : Some environmental factors and chemical exposures may increase the likelihood of developing Spina Bifida.

  • Family history : While around 90% of cases occur without any family history, if a woman has previously given birth to a child with Spina Bifida, the risk of recurrence in future pregnancies may be higher.

  • Maternal conditions : Women who have diabetes, are obese, or experience high temperatures or fever early in pregnancy may face increased risks.

  • Excessive alcohol consumption : Heavy drinking during pregnancy is associated with various birth defects, including Spina Bifida.

Taking precautions such as ensuring sufficient folic acid intake before conception and during pregnancy, managing existing health conditions, and avoiding harmful substances can help lower the risk of Spina Bifida.

Signs and Symptoms of Spina Bifida

The symptoms of Spina Bifida vary depending on the severity and type of the condition :

Myelomeningocele : This is the most severe form of Spina Bifida, characterized by a sac-like mass protruding from the baby's back. The sac contains parts of the spinal cord, nerves, and meninges (protective coverings). Immediate surgery is often required to protect the exposed nerves, spinal cord, and to close the skin.

Spina Bifida Occulta : This form typically does not cause visible symptoms as the spinal cord remains inside the spine. However, there may be subtle signs such as a hairy patch, birthmark, or dimple on the lower back.

Meningocele : In this type, a fluid-filled sac protrudes from the spinal area, forming a noticeable mass on the back.

The severity of symptoms can range widely. In more severe cases, individuals may experience mobility challenges, bowel or bladder problems, and issues with coordination. Early diagnosis and appropriate medical management are essential for improving outcomes and quality of life.

Treatment of Spina Bifida

While there is no cure for Spina Bifida, various treatment options are available to manage its symptoms and complications :

  • Orthopedic Surgery : Feet and leg operations can be performed for improving the mobility of the children.
  • Bladder Surgery : This surgery is performed for tightening the muscles and also for increasing the bladder size.
  • Surgery : Surgery is done for decreasing the risk of infection and also for closing the lesion.
  • Diet and Enemas : Faecal incontinence is managed by the means of diet and enemas.
  • Aids : Wheelchairs or walking aids are used.
  • General Measures : Regular monitoring of bladder, spine and kidney functions is required.
  • Continence Pads and Self-Catheterisation : Urinary incontinence is very essential to manage. Urinary or faecal bags are sometimes required.

Effective management of Spina Bifida requires a multidisciplinary approach involving healthcare providers, specialists, and supportive care to optimize quality of life and functional outcomes.

Health Issues to Children with Spina Bifida

Children born with Spina Bifida may face several health challenges :

Hydrocephalus : Some children with Spina Bifida also experience hydrocephalus, where cerebrospinal fluid accumulates in the brain due to Arnold Chiari malformation. Shunt surgery is often necessary to manage this condition and relieve pressure on the brain.

Emotional Effects : Living with Spina Bifida can lead to emotional challenges such as low self-esteem, feelings of insecurity, and depression, which may require psychological support and counseling.

Limited Mobility : The degree of mobility impairment varies depending on the severity of Spina Bifida. It can range from mild gait abnormalities to dependence on wheelchairs or leg braces for mobility assistance.

These health issues highlight the importance of early diagnosis, comprehensive medical care, and ongoing support to address both physical and emotional needs of children with Spina Bifida.

Cost of Spina Bifida

Treatment for Spina Bifida in India is known for its affordability and access to modern healthcare facilities. Some of the best spine surgery hospitals are located in major cities across the country. This allows patients to receive comprehensive care and specialized treatment options at competitive costs.

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