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The appearance of this monograph is well timed with a general re-evaluation by child neurologists and neurosurgeons of the issues raised by infants born with spina bifida cystica. The author's point of view is based upon his experience with over 300 children, most of whom had disabling neurological, orthopedic, and urologic defects. His point of view that a concerted plan for total rehabilitation is needed, both to increase the number of survivors and, more important, to improve the quality of the survivors, is shared by the reviewer.
The introductory chapters discuss terminology and the management of spina bifida occulta. The author's major concern is with spina bifida cystica, beginning with a unique description of the spinal lesion and associated dissection of the nerve roots and peripheral nerves in 12 cadavers. The roots and peripheral nerves were found to be normal, despite major dysplastic changes in the lower spinal cord. In
Shulman K. Spina Bifida and the Total Care of Spinal Myelomeningocele.. Arch Neurol. 1965;13(3):334–335. doi:10.1001/archneur.1965.00470030114019