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Related Experiment Videos

Comparative study of complex spina bifida and split cord malformation.

Raj Kumar1, S N Singh, K K Bansal

  • 1Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences & King Georges Medical University, Lucknow, India. rajkumar@sgpgi.ac.in

Indian Journal of Pediatrics
|March 11, 2005
PubMed
Summary

Split cord malformation with meningomyelocele (SCM with MMC) presents with more neurological deficits and complications than SCM without MMC. Early MRI screening is crucial for comprehensive treatment and better outcomes in spinal dysraphism cases.

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Type 1 Split Cord Malformation: The Significance of the 3D Orientation of the Bony Spur, Its Clinical Relevance, and Surgical Nuances.

Journal of pediatric neurosciences·2019

Area of Science:

  • Neurology
  • Pediatric Neurosurgery
  • Spinal Cord Anomalies

Background:

  • Split cord malformation (SCM) is a complex congenital anomaly.
  • SCM can occur with or without meningomyelocele (MMC), impacting clinical presentation and outcomes.

Purpose of the Study:

  • To compare clinical profiles, radiological findings, and surgical outcomes between SCM with MMC and SCM without MMC.
  • To identify key differences to guide diagnostic and therapeutic strategies.

Main Methods:

  • Retrospective analysis of 46 SCM patients divided into Group I (SCM with MMC, n=19) and Group II (SCM without MMC, n=27).
  • Clinical evaluation, whole-spine MRI screening, and surgical detethering were performed.
  • Outcomes assessed after an average 1.7-year follow-up.

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Main Results:

  • SCM with MMC (Group I) showed higher incidence of motor deficits (63% vs 40%), sensory loss, and postoperative complications.
  • Neuro-orthopedic deformities were more frequent in SCM without MMC (Group II) (67%).
  • Group II patients demonstrated better operative outcomes compared to Group I.

Conclusions:

  • SCM with MMC accounts for 41% of SCM cases and is associated with progressive neurological deficits.
  • Thorough neuraxis screening via MRI is recommended for SCM with MMC to address co-existing anomalies and improve outcomes.