Adult Rehabilitation Transition in Pediatric Patients With Spina Bifida

Samuel Rosenfeld, MD, CHOC Children’s Hospital, Orange, Calif., presented factors in determining the success with which an individual with spina bifida will transition from a pediatric to an adult rehabilitation environment.

Forty-eight patients were followed since 1958, stratified by neurological status primarily based on spinal cord level of involvement. Researchers examined socioeconomic status, functional skills as well as bowel and bladder function. Transition factors such as employment and government assistance were analyzed, in addition to comorbidities such as skin breakdown leading to amputation.

The researchers noted that when a pediatric patient with spinda bifida is ready to pursue adult rehabilitation goals, particular emphasis should be placed on yearly evaluations, even after the individual has reached adulthood. These evaluations can help to prevent pressure sores, promote socialization and independence through education and provide ready access to health care.

For more information, visit the Association for Children’s Prosthetic-Orthotic Clinics website at, call (847) 698-1637 or email

For more information:
Rosenfeld S. Paper #13.

Disclosure: Rosenfeld is a paid presenter and paid consultant for MediCrea Spine, Zimmer and Zimmer Spine.

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