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Congenital Abnormalities

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Spina bifida » Vertebral column Q05

Definition:

A family of congenital malformation defects in the closure of the spinal column characterized by herniation or exposure of the spinal cord and/or meninges through an incompletely closed spine. Includes meningocele, meningomyelocele, myelocele, myelomeningocele, rachischisis. Spina bifida is not counted when present with anencephaly. Excludes spina bifida occulta, sacrococcygeal teratoma without dysraphism.
Notes:
Includes meningocele, meningomyelocele, myelocele, myelomeningocele, rachischisis. Spina bifida is not considered when associated with anencephaly [Q00.0].
Excludes: spina bifida occulta [Q76.0], sacrococcygeal teratoma without dysraphism [033.7 O66.3].
Presence or absence of hydrocephaly should be specified, as well as spine level (cervical, thoracic, lumbar, sacras). The fourth digit is defined by the combination of these characteristics.
Describe the spina bifida and do not write myelomeningocele based on clinical examination, unless thus defined by surgery or pathology.
Likewise do not use abbreviations as MMC or similar.
Simply indicate spina bifida, with the above mentioned details.
Images:
Image 1
Self explanatory diagram with 4 types of spina bifida aperta.
Image 2
Spina bifida aperta with exposure of spinal cord (except 7):
1. Cervico-thoracic, 2. Thoracic, 3. Lumbar, 4. 5. Dorsal-lumbar, 6. Lumbar-sacral. 2.3. surrounded by angiomatous skin
8. 9. 10. Thoracic
11. Large spina bifida aperta, extending from thoracic to sacral area.
7. Defect in lumbar region, covered with partially atrophic skin, surrounded by hyperpigmented skin and flanked by a small angioma.
Image 3
1-16 Myelocystocele, meningocele, myelomeningocele, hydromyelia (covered with normal, thin, or partially atrophic skin or meninges).
1. Small dorsal defect covered with translucent skin.
6. Idem lumbar
2. 3. Cervical, skin covered defect
4. Cervical defect, covered with meninges
5. Dorsal-lumbar defect covered with meninges
7. Lumbar, only slightly protruding, skin-covered defect
8- Lumbar-sacral, skin covered defect
9. 10. Hydromyelia in sacral region, covered with angiomatous skin.
11. Lumbar-sacral defect, covered with meninges
12. Sacral defect, covered with angiomatous skin.
13. Sacral defect, covered with partially atrophic skin
15, 16. Idem lumbar
14. Dorsal defect covered with translucent skin
Image 4
Spina bifida aperta, dorsal-lumbar, with exposed spinal cord and hydrocephalus Q05.1.
Image 5
Small depression in lower cervical region over the midline, covered with angiomatous and hairy skin.
Image 6
Craniorachischisis
1- Cervical,
2- Extending into upper dorsal area
3-4-5- Extending from cervical to lumbar region.
Image 7
1. Cervical spina bifida without hydrocephaly Q05.5
2. Thoracic spina bifida without hydrocephaly Q05.6
3. Lumbar spina bifida without hydrocephaly Q05.7
4. Sacral spina bifida without hydrocephaly Q05.8

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