Abstract:
STUDY DESIGN:A report of a case of lumbar spine duplication with the clinical appearance of adolescent scoliosis. OBJECTIVE:To increase knowledge about the pathogenesis and treatment of lumbar spinal duplication. SUMMARY OF BACKGROUND DATA:Although there have been other reports of lumbar spine duplication of this magnitude, these malformations typically are associated with severe neurologic abnormalities (dicephalus, myelomeningocele) or gastrointestinal abnormalities (omphalocele, neurenteric fistulas). Several investigators have recommended early surgical intervention for this abnormality because of the perceived risk of progressive neurologic abnormality from tethering of the cord. METHODS:In a 13-year-old girl who had truncal asymmetry, lumbar spine duplication was noted on plain radiographs. A magnetic resonance study was obtained, and the patient was observed with conservative treatment for 3 years. RESULTS:Although extensive abnormalities were noted on the magnetic resonance images, which were related to duplication of spinal cord and vertebral bodies, the patient was neurologically intact and remained so until skeletal maturity. CONCLUSIONS:This rare malformation typically has severe neurologic sequelae. Conservative management in the reported patient did not result in a progressive neurologic lesion at the time of skeletal maturity.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Goldberg BA,Erwin WD,Heggeness MHdoi
10.1097/00007632-199802150-00021subject
Has Abstractpub_date
1998-02-15 00:00:00pages
504-7issue
4eissn
0362-2436issn
1528-1159journal_volume
23pub_type
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