{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:19:49Z","timestamp":1772119189325,"version":"3.50.1"},"reference-count":54,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Childs Nerv Syst"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.1007\/s00381-023-05951-y","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T10:52:55Z","timestamp":1683024775000},"page":"1755-1764","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pre and postnatal care characteristics and management features of children born with myelomeningocele in the post-folate fortification era of staple foods in Costa Rica (2004\u20132022)"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2337-2168","authenticated-orcid":false,"given":"Adrian","family":"Caceres","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Laura","family":"Jimenez-Chaverri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula Andrea","family":"Alpizar-Quiros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9991-0394","authenticated-orcid":false,"given":"Roy","family":"Wong-McClure","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"5951_CR1","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1111\/NYAS.13548","volume":"1414","author":"H Blencowe","year":"2018","unstructured":"Blencowe H, Kancherla V, Moorthie S et al (2018) Estimates of global and regional prevalence of neural tube defects for 2015: a systematic analysis. Ann N Y Acad Sci 1414:31\u201346. https:\/\/doi.org\/10.1111\/NYAS.13548","journal-title":"Ann N Y Acad Sci"},{"key":"5951_CR2","doi-asserted-by":"publisher","first-page":"1392","DOI":"10.1002\/bdr2.2115","volume":"114","author":"V Kancherla","year":"2022","unstructured":"Kancherla V, Wagh K, Priyadarshini P et al (2022) A global update on the status of prevention of folic acid-preventable spina bifida and anencephaly in year 2020: 30-year anniversary of gaining knowledge about folic acid\u2019s prevention potential for neural tube defects. Birth Defects Res 114:1392\u20131403. https:\/\/doi.org\/10.1002\/bdr2.2115","journal-title":"Birth Defects Res"},{"key":"5951_CR3","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1002\/BDR2.1835","volume":"113","author":"V Kancherla","year":"2021","unstructured":"Kancherla V, Wagh K, Pach\u00f3n H, Oakley GP (2021) A 2019 global update on folic acid-preventable spina bifida and anencephaly. Birth Defects Res 113:77\u201389. https:\/\/doi.org\/10.1002\/BDR2.1835","journal-title":"Birth Defects Res"},{"key":"5951_CR4","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1016\/0140-6736(91)91472-7","volume":"338","author":"M Super","year":"1991","unstructured":"Super M, Summers EM, Meylan B (1991) Preventing neural tube defects. Lancet 338:755\u2013756. https:\/\/doi.org\/10.1016\/0140-6736(91)91472-7","journal-title":"Lancet"},{"key":"5951_CR5","doi-asserted-by":"publisher","unstructured":"Smith AD, Sobczy\u0144ska-Malefora A, Green R et al (2022) Mandatory food fortification with folic acid. Lancet Glob Health 10:e1389. https:\/\/doi.org\/10.1016\/S2214-109X(22)00378-3","DOI":"10.1016\/S2214-109X(22)00378-3"},{"key":"5951_CR6","doi-asserted-by":"publisher","first-page":"e1053","DOI":"10.1016\/S2214-109X(22)00213-3","volume":"10","author":"V Kancherla","year":"2022","unstructured":"Kancherla V, Botto LD, Rowe LA et al (2022) Preventing birth defects, saving lives, and promoting health equity: an urgent call to action for universal mandatory food fortification with folic acid. Lancet Glob Health 10:e1053\u2013e1057. https:\/\/doi.org\/10.1016\/S2214-109X(22)00213-3","journal-title":"Lancet Glob Health"},{"key":"5951_CR7","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1016\/j.bpobgyn.2013.10.006","volume":"28","author":"AS Trudell","year":"2014","unstructured":"Trudell AS, Odibo AO (2014) Diagnosis of spina bifida on ultrasound: always termination? Best Pract Res Clin Obstet Gynaecol 28:367\u2013377. https:\/\/doi.org\/10.1016\/j.bpobgyn.2013.10.006","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"5951_CR8","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1002\/bdra.23086","volume":"94","author":"CY Johnson","year":"2012","unstructured":"Johnson CY, Honein MA, Dana Flanders W et al (2012) Pregnancy termination following prenatal diagnosis of anencephaly or spina bifida: a systematic review of the literature. Birth Defects Res A Clin Mol Teratol 94:857\u2013863. https:\/\/doi.org\/10.1002\/bdra.23086","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"5951_CR9","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1007\/s00404-016-4032-y","volume":"294","author":"CM Domr\u00f6se","year":"2016","unstructured":"Domr\u00f6se CM, Bremer S, Buczek C et al (2016) Termination of pregnancy after prenatal diagnosis of spina bifida: a German perspective. Arch Gynecol Obstet 294:731\u2013737. https:\/\/doi.org\/10.1007\/s00404-016-4032-y","journal-title":"Arch Gynecol Obstet"},{"key":"5951_CR10","doi-asserted-by":"publisher","first-page":"126","DOI":"10.5455\/medarh.2019.73.126-130","volume":"73","author":"A Cerovac","year":"2019","unstructured":"Cerovac A, Serak A, Zukic H et al (2019) Ethical and legal dilemmas around termination of pregnancy for severe fetal hydrocephalus, spina bifida aperta and meningomyelocoella. Med Arch 73:126\u2013130. https:\/\/doi.org\/10.5455\/medarh.2019.73.126-130","journal-title":"Med Arch"},{"key":"5951_CR11","doi-asserted-by":"publisher","unstructured":"Kancherla V, Redpath B, Oakley GP (2019) Reductions in child mortality by preventing spina bifida and anencephaly: implications in achieving Target 3.2 of the Sustainable Development Goals in developing countries. Birth Defects Res 111.\u00a0https:\/\/doi.org\/10.1002\/bdr2.1362","DOI":"10.1002\/bdr2.1362"},{"key":"5951_CR12","doi-asserted-by":"crossref","unstructured":"Ho P, Quigley MA, Tatwavedi D et al (2021) Neonatal and infant mortality associated with spina bifida: a systematic review and meta-analysis. PLoS One 16","DOI":"10.1371\/journal.pone.0250098"},{"key":"5951_CR13","doi-asserted-by":"publisher","unstructured":"Bakker MK, Kancherla V, Canfield MA et al (2019) Analysis of mortality among neonates and children with spina bifida: an international registry-based study, 2001\u20132012. Paediatr Perinat Epidemiol 33. https:\/\/doi.org\/10.1111\/ppe.12589","DOI":"10.1111\/ppe.12589"},{"key":"5951_CR14","doi-asserted-by":"publisher","unstructured":"Dixon M, Kancherla V, Magana T et al (2019) High potential for reducing folic acid-preventable spina bifida and anencephaly, and related stillbirth and child mortality, in Ethiopia. Birth Defects Res 111. https:\/\/doi.org\/10.1002\/bdr2.1584","DOI":"10.1002\/bdr2.1584"},{"key":"5951_CR15","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1016\/J.JPEDS.2022.06.023","volume":"249","author":"CT Mai","year":"2022","unstructured":"Mai CT, Evans J, Alverson CJ et al (2022) Changes in spina bifida lesion level after folic acid fortification in the US. J Pediatr 249:59-66.e1. https:\/\/doi.org\/10.1016\/J.JPEDS.2022.06.023","journal-title":"J Pediatr"},{"key":"5951_CR16","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1002\/BDR2.1221","volume":"110","author":"C Eldridge","year":"2018","unstructured":"Eldridge C, Bandlamuri S, Andrews JG et al (2018) Postfolate spina bifida lesion level change. Birth Defects Res 110:949\u2013955. https:\/\/doi.org\/10.1002\/BDR2.1221","journal-title":"Birth Defects Res"},{"key":"5951_CR17","first-page":"149","volume":"22","author":"M Morera Salas","year":"2013","unstructured":"Morera Salas M (2013) Capacidad resolutiva en la atenci\u00f3n de partos hospitalarios, Costa Rica. Rev Costarr Salud Publica 22:149\u2013155","journal-title":"Rev Costarr Salud Publica"},{"key":"5951_CR18","doi-asserted-by":"publisher","first-page":"410","DOI":"10.1016\/J.GACETA.2010.05.009","volume":"24","author":"M Morera Salas","year":"2010","unstructured":"Morera Salas M, Aparicio Llanos A (2010) Determinants of health care utilization in Costa Rica. Gac Sanit 24:410\u2013415. https:\/\/doi.org\/10.1016\/J.GACETA.2010.05.009","journal-title":"Gac Sanit"},{"key":"5951_CR19","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1007\/S10995-014-1542-8","volume":"19","author":"M de la Barboza-Arg\u00fcello","year":"2015","unstructured":"de la Barboza-Arg\u00fcello M, P, Uma\u00f1a-Sol\u00eds LM, Azofeifa A, et al (2015) Neural tube defects in Costa Rica, 1987\u20132012: origins and development of birth defect surveillance and folic acid fortification. Matern Child Health J 19:583\u2013590. https:\/\/doi.org\/10.1007\/S10995-014-1542-8","journal-title":"Matern Child Health J"},{"key":"5951_CR20","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1017\/S1368980013000256","volume":"17","author":"J Rosenthal","year":"2014","unstructured":"Rosenthal J, Casas J, Taren D et al (2014) Neural tube defects in Latin America and the impact of fortification: a literature review. Public Health Nutr 17:537\u2013550. https:\/\/doi.org\/10.1017\/S1368980013000256","journal-title":"Public Health Nutr"},{"key":"5951_CR21","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1177\/0379572117707890","volume":"38","author":"R Martorell","year":"2017","unstructured":"Martorell R, de Roma\u00f1a DL (2017) Components of successful staple food fortification programs: lessons from Latin America. Food Nutr Bull 38:384\u2013404. https:\/\/doi.org\/10.1177\/0379572117707890","journal-title":"Food Nutr Bull"},{"key":"5951_CR22","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1017\/S1368980012003576","volume":"16","author":"C Castillo-Lancellotti","year":"2013","unstructured":"Castillo-Lancellotti C, Tur JA, Uauy R (2013) Impact of folic acid fortification of flour on neural tube defects: a systematic review. Public Health Nutr 16:901\u2013911. https:\/\/doi.org\/10.1017\/S1368980012003576","journal-title":"Public Health Nutr"},{"key":"5951_CR23","unstructured":"Vald\u00e9s-Lamas MR, Jim\u00e9nez-Chaverri AL, Di Mare Hering C (1998) Estudio retrospectivo, descriptivo, de la poblaci\u00f3n total con mielomeningocele en el Hospital Nacional de Ni\u00f1os de 1995\u20131996. Universidad de Costa Rica"},{"key":"5951_CR24","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1016\/S1474-4422(13)70110-8","volume":"12","author":"AJ Copp","year":"2013","unstructured":"Copp AJ, Stanier P, Greene NDE (2013) Neural tube defects \u2013 recent advances, unsolved questions and controversies. Lancet Neurol 12:799. https:\/\/doi.org\/10.1016\/S1474-4422(13)70110-8","journal-title":"Lancet Neurol"},{"key":"5951_CR25","doi-asserted-by":"publisher","unstructured":"Micu R, Chicea AL, Bratu DG et al (2018) Ultrasound and magnetic resonance imaging in the prenatal diagnosis of open spina bifida. Med Ultrason 20:221\u2013227. https:\/\/doi.org\/10.11152\/MU-1325","DOI":"10.11152\/MU-1325"},{"key":"5951_CR26","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/S0002-9378(94)70040-0","volume":"171","author":"JP Crane","year":"1994","unstructured":"Crane JP, LeFevre ML, Winborn RC et al (1994) A randomized trial of prenatal ultrasonographic screening: impact on the detection, management, and outcome of anomalous fetuses. The RADIUS Study Group. Am J Obstet Gynecol 171:392\u2013399. https:\/\/doi.org\/10.1016\/S0002-9378(94)70040-0","journal-title":"Am J Obstet Gynecol"},{"key":"5951_CR27","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1159\/000512487","volume":"48","author":"J Tiechl","year":"2021","unstructured":"Tiechl J, Abdel Azim S, Leitner K et al (2021) Screening for open spina bifida in a routine clinical setting at the first-trimester scan: a prospective multicentre cohort study. Fetal Diagn Ther 48:96\u2013102. https:\/\/doi.org\/10.1159\/000512487","journal-title":"Fetal Diagn Ther"},{"key":"5951_CR28","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1002\/uog.9067","volume":"38","author":"M Scheier","year":"2011","unstructured":"Scheier M, Lachmann R, P\u011btro\u0161 M, Nicolaides KH (2011) Three-dimensional sonography of the posterior fossa in fetuses with open spina bifida at 11\u201313 weeks\u2019 gestation. Ultrasound Obstet Gynecol 38:625\u2013629. https:\/\/doi.org\/10.1002\/uog.9067","journal-title":"Ultrasound Obstet Gynecol"},{"key":"5951_CR29","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1002\/pd.5614","volume":"40","author":"D Wertaschnigg","year":"2020","unstructured":"Wertaschnigg D, Ramkrishna J, Ganesan S et al (2020) Cranial sonographic markers of fetal open spina bifida at 11 to 13 weeks of gestation. Prenat Diagn 40:365\u2013372. https:\/\/doi.org\/10.1002\/pd.5614","journal-title":"Prenat Diagn"},{"key":"5951_CR30","doi-asserted-by":"publisher","unstructured":"Copp AJ, Adzick NS, Chitty LS et al (2015) Spina bifida. Nat Rev Dis Primers 1.\u00a0https:\/\/doi.org\/10.1038\/NRDP.2015.7","DOI":"10.1038\/NRDP.2015.7"},{"key":"5951_CR31","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1111\/J.1469-8749.1970.TB03020.X","volume":"22","author":"G Stark","year":"1970","unstructured":"Stark G, DRUMMOND M (1970) Spina bifida as an obstetric problem. Dev Med Child Neurol Suppl 22:157\u2013160. https:\/\/doi.org\/10.1111\/J.1469-8749.1970.TB03020.X","journal-title":"Dev Med Child Neurol Suppl"},{"key":"5951_CR32","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1053\/jpsu.2002.30872","volume":"37","author":"J Correia-Pinto","year":"2002","unstructured":"Correia-Pinto J, Reis JL, Hutchins GM et al (2002) In utero meconium exposure increases spinal cord necrosis in a rat model of myelomeningocele. J Pediatr Surg 37:488\u2013492. https:\/\/doi.org\/10.1053\/jpsu.2002.30872","journal-title":"J Pediatr Surg"},{"key":"5951_CR33","doi-asserted-by":"publisher","first-page":"662","DOI":"10.1056\/NEJM199103073241004","volume":"324","author":"DA Luthy","year":"1991","unstructured":"Luthy DA, Wardinsky T, Shurtleff DB et al (1991) Cesarean section before the onset of labor and subsequent motor function in infants with meningomyelocele diagnosed antenatally. N Engl J Med 324:662\u2013666. https:\/\/doi.org\/10.1056\/NEJM199103073241004","journal-title":"N Engl J Med"},{"key":"5951_CR34","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1007\/S00381-016-3105-3","volume":"32","author":"E Radcliff","year":"2016","unstructured":"Radcliff E, Cassell CH, Laditka SB et al (2016) Factors associated with the timeliness of postnatal surgical repair of spina bifida. Childs Nerv Syst 32:1479\u20131487. https:\/\/doi.org\/10.1007\/S00381-016-3105-3","journal-title":"Childs Nerv Syst"},{"key":"5951_CR35","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1542\/PEDS.2005-1364","volume":"117","author":"KA Bol","year":"2006","unstructured":"Bol KA, Collins JS, Kirby RS (2006) Survival of infants with neural tube defects in the presence of folic acid fortification. Pediatrics 117:803\u2013813. https:\/\/doi.org\/10.1542\/PEDS.2005-1364","journal-title":"Pediatrics"},{"key":"5951_CR36","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1046\/J.1365-3016.2001.00371.X","volume":"15","author":"LY Wong","year":"2001","unstructured":"Wong LY, Paulozzi LJ (2001) Survival of infants with spina bifida: a population study, 1979\u201394. Paediatr Perinat Epidemiol 15:374\u2013378. https:\/\/doi.org\/10.1046\/J.1365-3016.2001.00371.X","journal-title":"Paediatr Perinat Epidemiol"},{"key":"5951_CR37","doi-asserted-by":"publisher","first-page":"256.e1","DOI":"10.1016\/J.AJOG.2017.12.001","volume":"218","author":"DL Farmer","year":"2018","unstructured":"Farmer DL, Thom EA, Brock JW et al (2018) The management of myelomeningocele study: full cohort 30-month pediatric outcomes. Am J Obstet Gynecol 218:256.e1. https:\/\/doi.org\/10.1016\/J.AJOG.2017.12.001","journal-title":"Am J Obstet Gynecol"},{"key":"5951_CR38","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1111\/J.1742-481X.2011.00885.X","volume":"9","author":"KC Kose","year":"2012","unstructured":"Kose KC, Inanmaz ME, Uslu M et al (2012) Kyphectomy for congenital kyphosis due to meningomyelocele: a case treated with a modified approach to skin healing. Int Wound J 9:311. https:\/\/doi.org\/10.1111\/J.1742-481X.2011.00885.X","journal-title":"Int Wound J"},{"key":"5951_CR39","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1097\/CORR.0000000000000976","volume":"478","author":"PA Petersen","year":"2020","unstructured":"Petersen PA, Marcon RM, Letaif OB et al (2020) Does kyphectomy improve the quality of life of patients with myelomeningocele? Clin Orthop Relat Res 478:104. https:\/\/doi.org\/10.1097\/CORR.0000000000000976","journal-title":"Clin Orthop Relat Res"},{"key":"5951_CR40","doi-asserted-by":"publisher","first-page":"881","DOI":"10.3171\/JNS.1992.77.6.0881","volume":"77","author":"IF Pollack","year":"1992","unstructured":"Pollack IF, Pang D, Albright AL, Krieger D (1992) Outcome following hindbrain decompression of symptomatic Chiari malformations in children previously treated with myelomeningocele closure and shunts. J Neurosurg 77:881\u2013888. https:\/\/doi.org\/10.3171\/JNS.1992.77.6.0881","journal-title":"J Neurosurg"},{"key":"5951_CR41","doi-asserted-by":"publisher","first-page":"587","DOI":"10.3171\/2018.1.PEDS17496","volume":"21","author":"MM McDowell","year":"2018","unstructured":"McDowell MM, Blatt JE, Deibert CP et al (2018) Predictors of mortality in children with myelomeningocele and symptomatic Chiari type II malformation. J Neurosurg Pediatr 21:587\u2013596. https:\/\/doi.org\/10.3171\/2018.1.PEDS17496","journal-title":"J Neurosurg Pediatr"},{"key":"5951_CR42","doi-asserted-by":"publisher","unstructured":"Protzenko T, Bellas A, Pousa MS et al (2019) Reviewing the prognostic factors in myelomeningocele. Neurosurg Focus 47.\u00a0https:\/\/doi.org\/10.3171\/2019.7.FOCUS19462","DOI":"10.3171\/2019.7.FOCUS19462"},{"key":"5951_CR43","doi-asserted-by":"publisher","first-page":"265","DOI":"10.1007\/S00381-011-1585-8","volume":"28","author":"E Ocal","year":"2012","unstructured":"Ocal E, Irwin B, Cochrane D et al (2012) Stridor at birth predicts poor outcome in neonates with myelomeningocele. Childs Nerv Syst 28:265\u2013271. https:\/\/doi.org\/10.1007\/S00381-011-1585-8","journal-title":"Childs Nerv Syst"},{"key":"5951_CR44","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1159\/000120432","volume":"15","author":"DG McLone","year":"1989","unstructured":"McLone DG, Knepper PA (1989) The cause of Chiari II malformation: a unified theory. Pediatr Neurosci 15:1\u201312. https:\/\/doi.org\/10.1159\/000120432","journal-title":"Pediatr Neurosci"},{"key":"5951_CR45","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1002\/PD.2199","volume":"29","author":"DNP Thompson","year":"2009","unstructured":"Thompson DNP (2009) Postnatal management and outcome for neural tube defects including spina bifida and encephalocoeles. Prenat Diagn 29:412\u2013419. https:\/\/doi.org\/10.1002\/PD.2199","journal-title":"Prenat Diagn"},{"key":"5951_CR46","doi-asserted-by":"publisher","first-page":"467","DOI":"10.3233\/PRM-200782","volume":"13","author":"JP Blount","year":"2020","unstructured":"Blount JP, Bowman R, Dias MS et al (2020) Neurosurgery guidelines for the care of people with spina bifida. J Pediatr Rehabil Med 13:467\u2013477. https:\/\/doi.org\/10.3233\/PRM-200782","journal-title":"J Pediatr Rehabil Med"},{"key":"5951_CR47","doi-asserted-by":"publisher","first-page":"S363","DOI":"10.4103\/0028-3886.332247","volume":"69","author":"J Blount","year":"2021","unstructured":"Blount J, Maleknia P, Hopson B et al (2021) Hydrocephalus in Spina Bifida. Neurol India 69:S363\u2013S367. https:\/\/doi.org\/10.4103\/0028-3886.332247","journal-title":"Neurol India"},{"key":"5951_CR48","doi-asserted-by":"publisher","unstructured":"Spoor JKH, Gadjradj PS, Eggink AJ et al (2019) Contemporary management and outcome of myelomeningocele: the Rotterdam experience. Neurosurg Focus 47.\u00a0https:\/\/doi.org\/10.3171\/2019.7.FOCUS19447","DOI":"10.3171\/2019.7.FOCUS19447"},{"key":"5951_CR49","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.siny.2009.05.002","volume":"15","author":"NS Adzick","year":"2010","unstructured":"Adzick NS (2010) Fetal myelomeningocele: natural history, pathophysiology, and in-utero intervention. Semin Fetal Neonatal Med 15:9\u201314. https:\/\/doi.org\/10.1016\/j.siny.2009.05.002","journal-title":"Semin Fetal Neonatal Med"},{"key":"5951_CR50","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1053\/J.SEMPEDSURG.2012.10.003","volume":"22","author":"N Scott Adzick","year":"2013","unstructured":"Scott Adzick N (2013) Fetal surgery for spina bifida: past, present, future. Semin Pediatr Surg 22:10\u201317. https:\/\/doi.org\/10.1053\/J.SEMPEDSURG.2012.10.003","journal-title":"Semin Pediatr Surg"},{"key":"5951_CR51","doi-asserted-by":"publisher","first-page":"1651","DOI":"10.1080\/14767058.2019.1645827","volume":"34","author":"S Riddle","year":"2021","unstructured":"Riddle S, Huddle R, Lim FY et al (2021) Morbidity and cost burden of prenatal myelomeningocele repair. J Matern Fetal Neonatal Med 34:1651\u20131657. https:\/\/doi.org\/10.1080\/14767058.2019.1645827","journal-title":"J Matern Fetal Neonatal Med"},{"key":"5951_CR52","doi-asserted-by":"publisher","unstructured":"Paslaru FG, Panaitescu AM, Iancu G et al (2021) Myelomeningocele surgery over the 10 years following the MOMS trial: a systematic review of outcomes in prenatal versus postnatal surgical repair. Medicina (Kaunas) 57.\u00a0https:\/\/doi.org\/10.3390\/MEDICINA57070707","DOI":"10.3390\/MEDICINA57070707"},{"key":"5951_CR53","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1111\/TOG.12603","volume":"21","author":"A Sacco","year":"2019","unstructured":"Sacco A, Ushakov F, Thompson D et al (2019) Fetal surgery for open spina bifida. Obstet Gynaecol 21:271\u2013282. https:\/\/doi.org\/10.1111\/TOG.12603","journal-title":"Obstet Gynaecol"},{"key":"5951_CR54","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1097\/GCO.0000000000000443","volume":"30","author":"YJ Blumenfeld","year":"2018","unstructured":"Blumenfeld YJ, Belfort MA (2018) Updates in fetal spina bifida repair. Curr Opin Obstet Gynecol 30:123\u2013129. https:\/\/doi.org\/10.1097\/GCO.0000000000000443","journal-title":"Curr Opin Obstet Gynecol"}],"container-title":["Child's Nervous System"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-023-05951-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00381-023-05951-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00381-023-05951-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T08:34:54Z","timestamp":1687595694000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00381-023-05951-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,2]]},"references-count":54,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["5951"],"URL":"https:\/\/doi.org\/10.1007\/s00381-023-05951-y","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2632067\/v1","asserted-by":"object"}]},"ISSN":["0256-7040","1433-0350"],"issn-type":[{"value":"0256-7040","type":"print"},{"value":"1433-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,2]]},"assertion":[{"value":"27 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 April 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 May 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The article was submitted for approval to the IRB of the National Children\u2019s Hospital of Costa Rica. Due to the retrospective longitudinal observational nature of the study where the information was de-identified, the study poses minimal risk to participants and safeguards are in place to protect their privacy and confidentiality; therefore, a waiver was issued, and no informed consent was required from the participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"There are no tables or figures in this article that require consent from second parties.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare there are no competing interests to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}