Duplication of spine with hemi-lipomyelomeningocele

• Published in: European spine journal Vol. 22; no. Suppl 3; pp. 487 - 490
• Main Authors: Yiğit, Hasan, Özdemir, H. Mustafa, Yurduseven, Esra
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01.05.2013; Springer Nature B.V
• Subjects: Adolescent; Case Report; Female; Humans; Lumbosacral Region - abnormalities; Medicine; Medicine & Public Health; Meningomyelocele; Neurosurgery; Scoliosis - congenital; Spinal Cord - abnormalities; Spine - abnormalities; Surgical Orthopedics; Thoracic Vertebrae - abnormalities; Magnetic resonance imaging; Scoliosis; Spinal dysraphism; Multislice computed tomography
• ISSN: 0940-6719; 1432-0932
• DOI: 10.1007/s00586-013-2655-2

Background Duplication of the spine is very rare, and this malformation is generally considered as a severe form of type I split cord malformations. To the best of our knowledge, this is the first reported case of spine duplication associated with lipomyelomeningocele. Case We report an exceptional case of 14-year-old, asymptomatic and neurologically intact girl with duplication of the spine and marked separation of bony elements at thoraco-lumbar region. One of the split thecal sacs includes a tethered spinal cord whereas other thecal sac has no visible neural content, and there is a neighbor lipomyelomeningocele located in the midline. Conclusion A surgical operation was planned to release the tethered cord and instrumentation and fusion for scoliosis; however, the operation was declined by the patient.