Why the Spinal Lesion Level on Prenatal Ultrasound Often Does Not Match Fetal Motor Function

Highlights

In this 12-year single-center retrospective study of 187 fetuses with open spinal dysraphism, the prenatal motor level was more caudal than the anatomical level in 85.0% of cases.

The median anatomical-motor discrepancy was two vertebral segments, but the range was wide, underscoring substantial heterogeneity in fetal neurologic expression.

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