March 2025 Pediatric Lecture Series: Spina Bifida - Case-Based Review (enduring)-Session Recording

Video Transcription

Video Summary

In this virtual lecture series by AAPMNR on Pediatric Rehabilitation Medicine, Dr. Andrew McCoy leads a comprehensive case-based review on spina bifida. Dr. McCoy, whose credentials include a medical degree from Drexel University College of Medicine and specialized training in physical medicine and rehabilitation as well as pediatric rehabilitation, provides insights into managing spina bifida with reference to the Spina Bifida Association guidelines.<br /><br />Dr. McCoy discusses various crucial aspects including the prevalence and genetic factors of spina bifida, highlighting the importance of folic acid fortification programs in reducing incidence rates. The lecture covers the types and implications of spina bifida, discussing the impact of prenatal and postnatal management strategies, notably the outcomes of the Management of Myelomeningocele Study which suggests early surgical intervention can improve neurological outcomes.<br /><br />He further emphasizes the necessity of multi-disciplinary coordination in care, focusing on common complications like hydrocephalus and Chiari malformations, and their management through surgical and therapeutic interventions. Dr. McCoy touches on orthopedic issues, neurosurgical complications, gait analysis, bracing, and early intervention strategies in physical therapy.<br /><br />Additionally, the lecture addresses neurogenic bladder and bowel management, emphasizing the importance of individualized care plans in maintaining renal function and maximizing continence. Dr. McCoy also explores the implications of precocious puberty and growth challenges associated with spina bifida.<br /><br />Concluding with discussions on transitioning care from pediatric to adult settings, Dr. McCoy highlights resources for education and employment, as well as considerations for sexual health and reproductive counseling for individuals with spina bifida. The session underscores the importance of early introductions of transitions to adult care to ensure a smoother healthcare journey for these patients.

Keywords

Pediatric Rehabilitation Medicine

Spina Bifida

Dr. Andrew McCoy

AAPMNR

Folic Acid Fortification

Myelomeningocele Study

Multi-disciplinary Care

Neurogenic Bladder

Transition to Adult Care

Spina Bifida Association