L4 household ambulator plus. It is often considered the most common congenital cns malformation.
L5 level patients have a good prognosis for independent ambulation.
Spina bifida l4 l5. It occurs during development prior to birth. Affects mainly the l4 5 lumbar segment whereas spina bifida defects occur commonly at l5 s1 level. A meningocele a cystic swelling of the dura and arachnoid protrudes through the spina bifida defect in the vertebral arch.
The exposed nervous system may become infected so prompt surgery is needed after birth. This disc provides cushioning and shock absorbing functions to protect the vertebrae from grinding against each other during spinal movements. Spina bifida is what is known as a neural tube defect.
Obq10 27 a 6 year old boy with spina bifida presents to your clinic with a progressive foot deformity. It s when the spinal cord brain or meninges their protective covering does not completely. In this condition the spine is bifid and a cyst forms.
Spina bifida is a type of neural tube defect spinal dysraphism which can occur to varying degrees of severity. Terminology spina bifida in its strictest sense means defective f. Spina bifida myelomeningocele myelomeningocele is a severe type of spina bifida in which the membranes and the spinal nerves protrude at birth forming a sac on the baby s back.
Spina bifida cystica can occur anywhere along the spinal axis but most commonly is found in the lumbar region. Only the quadriceps front of thigh can extend but it will need help. However i will tell you the following.
The gluteus medius hip abductor the gluteus maximus hip extensor and outward rotation and the calf group of muscles gastrocnemius and soleus which push the foot against the floor. With an l4 level l5 missing we lack important antigravity muscles. A disc made of a gel like material nucleus pulposus surrounded by a thick fibrous ring annulus fibrosus is situated between the vertebral bodies of l4 and l5.
He can walk independently and ankle dorsiflexion and toe extension demonstrate full strength. It may help toward a more complete answer if you could offer a few more details regarding your circumstances and concerns. I don t want to sound obscurant but the short answer is it depends.