Spina bifida can be divided into two types: Type I and Type II. Type I accounts for about 50%, where the spinal cord splits at the rupture, with each having its own dura mater and arachnoid membrane, leading to foreign body traction and symptoms. Type II has a shared dura mater and arachnoid membrane, without foreign body traction, and does not produce symptoms.
Congenital hidden spinal cleft refers to a gap in the lumbar sacral vertebrae, where the cauda equina nerve and the dura mater protrude, adhere, and become fixed through the gap. When these nerves are pulled, tensed, ischemic, and produce symptoms such as frequent urination, urgency, incontinence, constipation, fecal incontinence, muscle atrophy of the gastrocnemius muscle, high arches, and clubfoot, even paralysis of the lower limbs may occur. Mild symptoms like enuresis can be treated conservatively without rushing for surgery; however, if symptoms are severe, such as incontinence of urine and feces, surgery should be performed as soon as possible to achieve better results. It is recommended to seek professional advice from pediatric neurosurgery.
