Dell Children’s Medical Center of Central Texas
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Marni Paul Specialty Care Center
Spina Bifida Program

Spina Bifida is a complex, disabling birth defect that affects approximately one out of every 1,000 newborns in the United States. This condition occurs when the spine fails to close properly during the first month of pregnancy. Most parents/families facing Spina Bifida are suddenly confronted with a birth defect they have never heard of or know very little about. With today's medical technology, the majority of infants born with Spina Bifida will live into adulthood.

The Spina Bifida Program provides patients with a variety of educational services as well as the care of numerous specialists. The program involves caring for Spina Bifida patients using a multidisciplinary team approach. Because this birth defect is so complex, it involves numerous medical specialties that are represented on the Team. The Program is committed to providing quality, comprehensive, coordinated care for each individual patient and for his or her family. The Spina Bifida nurse coordinator works with primary care physicians, schools, Early Child Intervention services, the Team and all other community resources to provide the services necessary to ensure the best patient care outcome.

Program Staff and Services

Patients are referred to the team through the nurse coordinator, (512) 324-0137. The Team of Specialists meet every second Tuesday of the month to see patients. To better meet patient needs, labs, x-rays, and other studies are also scheduled on these "program days". The team members work together to best meet the needs of the patient.

Other services available include:

Prenatal visits with the neurosurgeon, the urologist, and nurse coordinator
Coordination of all surgical procedures
Presurgical education
Education on the effects and implications of Spina Bifida
Hydrocephalus, Tethered cord, Bowel programs, Bladder programs
Latex allergy, skin problems, the role of Folic acid
Education on CIC - Clean Intermittent Catheterization
Information through the Spina Bifida Association of America
Family support services

Team members include:

Spine Specialist
Nurse Coordinator
Social Worker
Physical Therapist
Occupational Therapist
Enterostomal Therapy Nurse
Wheelchair/Equipment Specialist

On-Call Resources:

Speech Therapists
Resources through Referral:


Visits with the Spina Bifida Team are conducted at the Specialty Care Center in Dell Children's. Team Specialists see patients individually according to their specific needs. At the end of the day, the Team Members meet in conference to evaluate and plan the care for the patients. The Nurse Coordinator then contacts the family to set up any further orders involving labs, x-rays or other studies that have been prescribed by the Team Specialists. Dictations including the details of the entire visit are mailed to all people participating in the care of the patient; this includes the parents, the primary care physician, the schools, Early Child Intervention, and all Team Physicians.