In Stage 4 spina bifida, which statement best describes function?

• A. Ambulatory through preschool
• B. Preambulatory status
• C. Non-ambulation
• D. Wheelchair dependent

Answer: (A)

Mobility prognosis in pediatric spina bifida is described by functional stages that reflect how well a child can walk as they grow. In Stage 4, a child is ambulatory through preschool years, meaning they can walk and participate in typical early childhood activities, often using gait aids or braces but not fully wheelchair-dependent. This level of function contrasts with preambulatory status (not yet walking), non-ambulation (no walking), or wheelchair dependence (reliance on a chair for mobility). Clinically, Stage 4 suggests emphasis on gait training and orthotic management to support safe independent mobility during early childhood, with ongoing monitoring for changes as the child develops.