PT  - JOURNAL ARTICLE
AU  - John Lorber
TI  - Spina Bifida Cystica
AID  - 10.1136/adc.47.256.854
DP  - 1972 Dec 01
TA  - Archives of Disease in Childhood
PG  - 854--873
VI  - 47
IP  - 256
4099  - http://adc.bmj.com/content/47/256/854.short
4100  - http://adc.bmj.com/content/47/256/854.full
SO  - Arch Dis Child1972 Dec 01; 47
AB  - The disappointing results of treatment in 270 consecutive unselected cases of spina bifida admitted during a 27-month period are detailed. Massive effort has led to much avoidable suffering at an exorbitant cost in manpower and money. This study confirms the validity of those adverse prognostic criteria defined in an earlier study and which form a basis for selection. These are (1) thoracolumbar lesions, (2) severe paraplegia, (3) gross enlargement of head, (4) kyphosis, and (5) other severe congenital defects, or birth injuries. It is shown again that selection is possible on the first day of life on purely objective criteria; that it is essential for the benefit of all those affected—whether they are for treatment or no treatment; and that it is in the interest of their families and the community.