Spina Bifida Occulta

Publication Title: 
Journal of Manipulative and Physiological Therapeutics

A case report is presented in which a neurogenic bladder, presumably due to spina bifida occulta, is successfully managed by manipulation.

Author(s): 
Borregard, P. E.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To briefly discuss a case of tethered spinal cord syndrome, and to acquaint the reader with one of many important differential considerations among patients presenting with low back and leg pain. FEATURES: A 32-yr-old woman sought treatment at a private chiropractic clinic for a 6-month history of low back pain with intermittent diffuse bilateral leg pain and numbness. Plain films of the lumbar spine revealed no abnormality. Magnetic resonance imaging demonstrated a tethered spinal cord. INTERVENTION: The abbreviated filum terminale was surgically corrected.

Author(s): 
Marchiori, D. M.
Firth, R.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To study data concerning the pathogenesis, frequency of occurrence, clinical manifestations and associated abnormalities of spina bifida occulta (SBO) and re-evaluate the clinical importance of the lesion. DATA SOURCES: International journal articles indexed through Medline, and specific related texts, the majority of which were published after 1989. Key indexing terms used were spina bifida occulta, tethered cord syndrome and spondylolysis. RESULTS: The reported frequency of occurrence of SBO varies widely, depending largely on the age groups included in a particular study.

Author(s): 
Gregerson, D. M.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

OBJECTIVE: To discuss an unusual presentation of spina bifida occulta (SBO) mimicking an aggressive bone lesion. CLINICAL FEATURES: A 59-yr-old man suffered from intermittent neck pain. The plain film radiographs revealed rarefaction of the C6 spinous process that mimicked an aggressive bone lesion. Computed tomography and previous radiographs of the region confirmed an SBO defect of the C6 level. INTERVENTION AND OUTCOME: Supportive therapy was applied to the patient for his presenting neck complaint.

Author(s): 
DeBono, V.
Marchiori, D. M.
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