ABSTRACT

Due to the success of medical technology, families, providers, advocacy groups,

and public policies, up to 80% of children born with spina bifida are living well

into adulthood (1). They represent some of the 500,000 to 750,000 children with

special health-care needs who reach adult age each year in the United States (2).

They also represent a new challenge for a health-care system that has only

recently recognized this relatively new group of patients.