Early results of selective treatment of spina bifida cystica.

The results of a policy of "selection" in treating infants with spina bifida cystica over 21 months are presented. Of 37 newborn infants referred on the first day of life 25 were not treated because of the severity of their condition, as defined by exact criteria. All died under 9 months of age. In contrast, only one treated infant died and the rest are either normal or moderately handicapped. Selection for treatment is offered as the best but not a good solution to an insoluble problem.