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Results Fifty-four (46%) of the cohort survived to the mean age of 35 (range 31 to 38 years). Of these 13 (25%) worked in open, competitive employment. A further four worked in sheltered employment. All the 13 in open employment were of normal intelligence (IQ>80). Only 10 of them needed a CSF shunt, and in 6 of them the shunt had never needed revision. None of them had a severe visual defect or suffered from epilepsy. Only 5 used a wheelchair and 12 drove a car. Six were fully continent without catheter or appliances and none needed daily care. Those in open employment were more likely than the remainder to have an IQ>80 (13/13 versus 26/41 p < 0.05), no CSF shunt or no revisions of shunt (9/13 versus 15/41 p < 0.05), not to need a wheelchair (8/13 versus 8/41 p < 0.05), to drive a car (12/13 versus 8/41 p < 0.0001), and not to need daily care (13/13 versus 21/41 p < 0.01).

Predictors of employment in people with open spina bifida at the mean age of 35 years