TABLE 5-24 Comparison of Two Major Types of Spina Bifida


Dimension Meningocele Myelomeningocele
Contents of sac
Transillumination Percentage of total cases Motor function Sensory function Urinary/fecal incontinence Associated orthopedic anomalies Other anomalies Treatment Major short-term complication Major long-term complication
Prognosis
Meninges and cerebrospinal fluid Present 25% Present Present Absent Rare
Rare Surgery Infection (meningitis)
None
Excellent
Meninges, cerebrospinal fluid, spinal cord
Absent 75% Absent Absent Present Rare Developmental dysplasia of the hip, clubfoot
Hydrocephalus (90-95%) Surgery Infection (meningitis)
Chronic urinary tract infection leading to renal disease/failure Guarded