A RETROSPECTIVE ANALYSIS OF CLINICAL PRESENTATION AND SURGICAL OUTCOME OF SPINAL DYSRAPHISM IN A TERTIARY CARE CENTRE

Aim: The aim of the study is to evaluate the clinical presentation and surgical outcome in spinal dysraphism patients. Materials And Methods: This study was a retrospective study conducted between in all patients admitted in neurosurgery department. Result: Incidence was high in females(52.5%) than males(47.5%). Open type(62.5%) was more common than closed type(37.5%). The most common site of occurrence is lumbosacral region(42.5%). The most common nding was meningomyelocele in 18 cases(45%). The most common associated anomaly was hydrocephalus present in 15 cases(37.5%), followed by Arnold Chiari malformation type II in 9 cases(22.5%). Motor weakness was present in 18 cases preoperatively out of which 11 cases improved postoperatively. Sensory decits and sphincter dysfunction did not improve and remained static in majority of cases postoperatively. Conclusion: Spinal dysraphism is the most common cause of congenital disability in children. Surgery remains the main modality of treatment along with good postoperative care for better outcomes