Implications of a selective policy in the management of spina bifida.

Of 307 patients with myelomeningocele 132 were treated nonoperatively during the 6 yr period from 1973 to 1978. Of the nonoperatively managed patients, 86% died within 1 yr. The policy of nonoperative management was changed to one of active intervention in 25% of the infants. Despite this a large number died.