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Updated: Jun 7, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Regrowth of septal spur in split cord malformation
Deepak Kumar Gupta1, Shameem Ahmed, Kanwaljeet Garg
1Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. drdeepakgupta@gmail.com
Regrowth of a diastematomyelic bone septum after surgery is rare. This case highlights a pediatric patient experiencing a recurring fibro-osseous spur following initial surgical removal.
Area of Science:
- Pediatric Neurosurgery
- Spinal Cord Malformations
- Orthopedic Surgery
Background:
- Diastematomyelia is a congenital spinal cord malformation characterized by a bony or fibrous septum dividing the spinal canal.
- Surgical excision of the septum is the standard treatment to prevent neurological deficits.
- Recurrence of the septum after primary surgery is an uncommon complication.
Observation:
- A 3-year-old female patient presented with recurrent symptoms.
- The patient had a history of primary surgical excision for a diastematomyelic bone septum.
- Imaging revealed the regrowth of a fibro-osseous spur at the surgical site.
Findings:
- The case demonstrates the rare phenomenon of diastematomyelic bone septum regrowth.
- Fibro-osseous spur formation was identified as the cause of recurrence.
- This highlights a potential challenge in the long-term management of diastematomyelia.
Implications:
- This case underscores the importance of vigilant long-term follow-up for patients treated for diastematomyelia.
- Understanding the mechanisms of fibro-osseous spur regrowth may inform future surgical strategies.
- Further research is needed to elucidate the factors contributing to septum recurrence.
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