Lumbar vertebra 2 plate did not close

Patient's question:

If not woken up during the night, enuresis may occur. Previous treatment history and effectiveness: X-ray examination of the lumbar and sacral spine in the anteroposterior position showed that the sacral vertebrae 1 and 2 were not fused, while other parts were normal. The desired assistance: How to treat it, can it heal on its own?...

Doctor's answer:

The condition of the baby is called spina bifida, which is a congenital developmental abnormality of the spine. If the child wets the bed without other causes, it should be attributed to spina bifida. Enuresis is one of the clinical manifestations of this disease. It primarily occurs due to compression of the sacral and caudal nerves, which interferes with the contractile and relaxing functions of the bladder, leading to enuresis.
If the fissure between the vertebral plates is small and the child's enuresis is mild, treatment is generally not necessary. As the child grows, this enuresis phenomenon may sometimes resolve on its own. If the enuresis persists at night, causes abnormal urination, or leads to persistent neurological symptoms, additional surgical treatment may be considered after relevant examinations. The goal of the surgery is to remove the fibrous and fatty tissues compressing the nerve roots and to repair the scarred vertebral plates.

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