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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2021 Nov 15;35(11):1361-1367. doi: 10.7507/1002-1892.202105099.
Spina bifida and tethered spinal cord are congenital diseases that can lead to severe disability. At present, most doctors in relevant specialties in China still have insufficient understanding of spina bifida, resulting in high incidence and aggravation of its complications. To provide guidance for the diagnosis and treatment of spina bifida and tethered spinal cord in China, experts from neurosurgery, urology, orthopedics, spine surgery, and rehabilitation departments who have experiences in the diagnosis and treatment of spina bifida discussed and summarized their experiences, and referred to the relevant literature on the diagnosis and treatment of spina bifida at home and abroad. Expert consensus was formed in the following aspects: concept, classification, and pathological changes of spina bifida; diagnosis; treatment process and operation timing; principles and methods of treatment; rehabilitation; and follow up. This expert consensus can provide reference for relevant care providers of spina bifida in China.
脊柱裂和脊髓拴系综合征是可导致严重残疾的先天性疾病。目前,我国相关专科的多数医生对脊柱裂的认识仍不足,导致其发病率高且并发症加重。为给我国脊柱裂和脊髓拴系综合征的诊断与治疗提供指导,来自神经外科、泌尿外科、骨科、脊柱外科及康复科且有脊柱裂诊治经验的专家们讨论并总结了经验,同时参考了国内外脊柱裂诊治的相关文献。在以下方面形成了专家共识:脊柱裂的概念、分类及病理改变;诊断;治疗流程及手术时机;治疗原则与方法;康复;以及随访。本专家共识可为我国脊柱裂相关医护人员提供参考。