In Utero Surgery for Spina Bifida: A 12 year Experience

Having performed the first in-utero repair of a spina bifida patient in Texas, Dr. Fletcher has performed more than 150 of these operations since 2011. The rationale, technical aspects of the surgery, and long term management in conjunction with primary care providers will be discussed. This is one entity where excellent coordination between the neurosurgical and the primary care team are crucial to maximizing the long term outcomes of this complex medical problem. The problem list and it's changes from infancy to adulthood are discussed.

Upon completion of this program, participants will be able to:

  1. Review the wide range of clinical problems in patients with open neural tube defects
  2. Discuss the primary care management in this complex patient group from childhood into adulthood
  3. Review the impact of the new technology of in-utero surgery and how it dramatically altered the outcomes of these patients.

Statement of Accreditation
The Texas Osteopathic Medical Association (TOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. TOMA designates is program for a maximum of 1 AOA Category 1-A credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

Grievance Policy
All grievances may be directed to TOMA's Executive Director at toma@txosteo.org. All grievances will receive an initial response within 30 days of receipt.  If the participant does not receive a satisfactory response, they can submit a complaint to the Bureau of Osteopathic Education of the AOA at 142 East Ontario Street, Chicago, IL 60611.

 

Statement of Accreditation
The Texas Osteopathic Medical Association (TOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. TOMA designates is program for a maximum of 1 AOA Category 1-A credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

Grievance Policy
All grievances may be directed to TOMA's Executive Director at toma@txosteo.org. All grievances will receive an initial response within 30 days of receipt.  If the participant does not receive a satisfactory response, they can submit a complaint to the Bureau of Osteopathic Education of the AOA at 142 East Ontario Street, Chicago, IL 60611.