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Getting a spina bifida diagnosis during pregnancy or after your baby is born can be a huge blow. Suddenly, the future can feel a little unpredictable.

But you can take comfort in knowing that your child can lead a healthy and fulfilling life with the right therapies — and lots of love and support.

At Cleveland Clinic Children’s, we understand the complexities and challenges of managing all types of spina bifida. Our expert team offers compassionate support and personalized treatment designed to help your child grow and thrive.

Why Choose Cleveland Clinic Children’s for Spina Bifida Care

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Personalized care:

No two people with spina bifida are affected in the same way. We take a personalized approach and tailor your child’s care to fit their unique needs and goals. Meet our team.

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Demonstrated expertise:

Cleveland Clinic Children’s experts have done many surgeries to repair myelomeningocele while a fetus is still in the uterus. Our dedicated team of highly skilled providers uses the most innovative techniques to treat spina bifida.

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Collaborative care:

It can take the experience of many healthcare providers from different specialties to care for people with spina bifida. Your child’s healthcare team will work together to create the most cohesive treatment plan for the best results.

Types of Spina Bifida

Spina bifida happens when your fetus’s spine doesn’t develop completely during the first month of pregnancy. The name “spina bifida” means “split spine.” There are three types of spina bifida based on how it affects your fetus’s spine and neural tube development:

  • Spina bifida occulta (hidden spina bifida): This is the mildest and most common form of spina bifida. It usually only involves a small portion of your fetus’s spine. It typically doesn’t cause symptoms or need treatment.
  • Meningocele: This form happens when a sac of fluid comes through an opening in your fetus’s back, but the spinal cord isn’t in the sac. Surgery can repair the opening, but there can still be some nerve damage.
  • Myelomeningocele (open spina bifida): This form happens when there’s incomplete neural tube closure and a fluid-filled sac sticks out of your fetus’s back. The sac contains part of their spinal cord, meninges (tissues covering their spinal cord), nerves and cerebrospinal fluid (CSF). Fetal surgery or surgery after birth can repair the opening, but children with myelomeningocele usually have permanent spinal cord damage.

Diagnosing Spina Bifida at Cleveland Clinic Children’s

We may be able to diagnose spina bifida during pregnancy, but other times, we find the condition after birth. No matter when it’s discovered, our providers will work with you to answer all your questions and create a treatment plan that matches your child’s needs.

During pregnancy

The decision to get testing during pregnancy belongs to you and your family. Your child’s pediatric provider may suggest testing if they feel there’s an increased risk for — or if there are signs of — spina bifida.

In most cases, your healthcare provider can spot spina bifida during an ultrasound. We can also perform a fetal MRI to see your child’s spinal cord and brain more clearly.

After birth

Sometimes, you may not learn your baby has spina bifida until after they’re born. Myelomeningocele and meningocele will be easy to spot due to the fluid-filled sac on your baby’s back.

But it can be harder to tell if your child has spina bifida occulta. They may have a hairy patch, dimple, dark spot or swelling on their back where the gap is in their spine. Their pediatric provider can confirm spina bifida occulta with an ultrasound, X-ray or MRI.

A Team Approach to Care

Like you, we want your child to have the best life possible. If you choose Cleveland Clinic Children’s for spina bifida care, your child will be cared for by a skilled team of providers that will guide, inform and support your family.

All of our spina bifida specialists will work with your child’s pediatrician or another pediatric primary care provider. Spina bifida treatments are separate from your child’s routine medical care, like wellness checks and vaccinations. Their team could include:

Locations

Our healthcare providers see patients at convenient locations throughout Northeast Ohio.

Treating Spina Bifida at Cleveland Clinic Children’s

Our pediatric spina bifida experts will sit down with you and your family to create a highly personalized treatment plan for your child. We take a lot of factors into account as we craft this plan. We look at what kind of spinal cord damage your child has, their symptoms, their risk for complications and their needs and goals. We also consider what’s best for your family. We focus on your child every step of the way as we plan and adapt their treatment.

Since spina bifida can cause permanent nerve damage, people with it often require ongoing care. Depending on your child’s condition, they may need a mix of therapies. These could include:

Surgery

We usually recommend surgery first to treat myelomeningocele and meningocele. There are two ways we do this:

  • Fetal surgery: We may be able to do fetal surgery to repair your fetus’s spine during pregnancy. Fetal surgeons open your abdomen (belly) and uterus to reach your fetus. A neurosurgeon removes the myelomeningocele sac and repairs the spinal issue before closing the skin to protect the spinal cord. We do an extensive evaluation to make sure you and the fetus are a good fit for this surgery.
  • Surgery after birth: If fetal surgery isn’t possible, we typically recommend spina bifida surgery 24 to 48 hours after birth. A pediatric neurosurgeon removes the sac on your baby’s back and closes the surrounding tissue and skin to protect their spinal cord.

Your child may need additional spinal surgery later in life if they develop a tethered spinal cord, a common complication of spina bifida. This is one of the many complications we’ll keep a close eye on as your child grows. Frequent check-ins can help us catch and treat any issues early.

Care for hydrocephalus

Many babies with spina bifida develop hydrocephalus (a buildup of fluid around their brains). They may need surgery to place a shunt — a small, hollow tube that will help drain the fluid from their brain. As they grow, they may need additional surgery to change or unblock the shunt.

Mobility help

Spina bifida can cause spinal cord damage that affects how your child moves and gets around. Mobility aids — like leg or arm braces, a walker or a wheelchair — can often help. Physical therapy and occupational therapy can also strengthen their muscles and teach them new ways to make everyday tasks easier. Our experts will tailor your child’s care to help them live as independently as possible.

Urological and bowel care

Many people with spina bifida can’t control when they go to the bathroom. This could make it hard to empty their bladder or bowel (peeing or pooping) or not be able to stop themselves from going (incontinence). There are many types of incontinence with varying degrees of severity. Together, we’ll figure out a care plan that’s best suited for your child and family.

Examples of care your child may need include:

  • A catheter (tube) inserted in their bladder to help drain urine (pee)
  • A stoma — an opening in your child’s abdomen that can be connected to either their digestive or urinary system to allow pee or poop to leave their body
  • Medication to help control how their bladder and bowel work
  • Surgery like augmentation cystoplasty and vesicostomy
  • Antibiotics to help prevent urinary tract infections (UTIs)

We’ll watch how your child’s bladder, kidney and bowel work as they grow and will adapt their care plan as needed.

Spina bifida care for adults

It’s not uncommon for adults with spina bifida to have new health issues that are different from the ones they had in childhood. Our adult spina bifida experts understand the unique healthcare needs and quality of life concerns adults with spina bifida have. When the time is right, we’ll make sure your child moves comfortably to care with our adult providers.

What’s Next?

When you find out your child has spina bifida, it can change your family’s life in an instant. But you don’t have to go through it alone. Cleveland Clinic Children’s is here to support your family and help your child live a healthy and fulfilling life. Our experienced and compassionate providers partner with your family — guiding you to the right care and resources along the way.

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