Findings from the National Spina Bifida Patient Registry

What to know

  • The National Spina Bifida Patient Registry collects information from patients to better understand their care and longer-term health.
  • From 2009-2022, these data were collected from children and adults who received care at a participating spina bifida clinic.
  • CDC manages the Registry, and in partnership with spina bifida patient organizations, shares findings with families and healthcare providers.
Data charts on laptop

Type of spina bifida

Based on 11,812 Registry participants

Age

Age in years at last clinic visit. Based on 11,812 Registry participants

  • 7% younger than 2
  • 12% 2 to <5
  • 20% 5 to <10
  • 12% 10 to <13
  • 21% 13 to <18
  • 11% 18 to <22
  • 17% 22 or older

Race/ethnicity

Based on 11,812 Registry participants

  • 61% Non-Hispanic White
  • 22% Hispanic or Latino
  • 7% Non-Hispanic Black
  • 7% Other*
  • 2% Multiracial
  • <1% Refused/Unknown

*Other includes Asian, Native Hawaiian, Other Pacific Islander, American Indian, and Alaskan Native.

Functional level of lesion

Based on 11,806 Registry participants

  • 14% Thoracic
  • 9% High-Lumbar
  • 28% Mid-Lumbar
  • 16% Low-Lumbar
  • 33% Sacral

Mobility status

Based on 10,956 Registry participants aged 2 years and older

  • 57% Community ambulators
  • 8% Household ambulators
  • 6% Therapeutic ambulators
  • 29% Non-ambulators

Skin breakdown

Based on 11,812 Registry participants

  • 29% had a history of skin breakdown
  • 71% did not have a history of skin breakdown

By type of spina bifida

Based on 11,812 Registry participants

  • Among Registry participants with myelomeningocele, 33% had a history of skin breakdown.
  • Among Registry participants with non-myelomeningocele, 14% had a history of skin breakdown.

Bladder continence among impaired individuals

Based on 8,026 Registry participants, age 5 years and older, with impaired bladder function. Continence is defined as dry during the day in the last month.

  • 31% continent
  • 69% incontinent

By type of spina bifida (regardless of impairment)

  • Among Registry participants ages 5 years and older with myelomeningocele, 34% are continent of bladder.
  • Among Registry participants ages 5 years and older with non-myelomeningocele, 62% are continent of bladder.

Bowel continence among impaired individuals

Based on 7,589 Registry participants, ages 5 years and older with impaired bowel function. Continence is defined as not having any daytime leakage of stool in the last month.

  • 47% continent
  • 53% incontinent

By type of spina bifida (regardless of impairment)

  • Among Registry participants ages 5 years and older with myelomeningocele, 51% are continent of bowel.
  • Among Registry participants ages 5 years and older with non-myelomeningocele, 74% are continent of bowel.

Insurance type

Based on 11,709 Registry participants at last visit

  • 48% Any private insurance; patients may have reported more than one source of insurance coverage.
  • 46% Public insurance only
  • 2% Supplementary insurance only
  • 3% Supplementary insurance and public insurance
  • 1% Uninsured

More information