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Cervical Split Cord Malformations: A Systematic Review
Ravi Sreenivasan1, Ravi Sharma1, Sachin Anil Borkar1
1Department of Neurosurgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Neurology India
|October 28, 2020
Summary
Cervical split cord malformations are rare congenital anomalies. Prophylactic surgery in asymptomatic individuals is recommended to prevent future neurological deficits, with excellent surgical outcomes.
Area of Science:
- Neurology
- Developmental Biology
- Neurosurgery
Background:
- Cervical split cord malformations (CSCMs) are exceptionally rare congenital anomalies.
- Fewer than 75 cases have been reported globally.
- Varied terminology complicates case aggregation and analysis.
Purpose of the Study:
- To systematically review documented cases of cervical split cord malformations.
- To analyze surgical outcomes in both symptomatic and asymptomatic individuals.
- To address the ongoing debate regarding prophylactic surgery for asymptomatic cases.
Main Methods:
- Systematic literature review of 71 cases from 38 reports.
- Data collected from publications spanning 1889 to 2016.
- Analysis of surgical outcomes based on patient symptomatology.
Main Results:
- Excellent surgical outcomes observed in asymptomatic individuals undergoing prophylactic surgery.
- Good surgical outcomes reported for symptomatic individuals.
- Despite rarity, a consistent pattern of surgical efficacy emerges.
Conclusions:
- Prophylactic surgery in asymptomatic individuals with CSCMs is advocated.
- Early intervention can prevent severe neurological deficits from potential trauma.
- Surgical management offers favorable results across symptomatic and asymptomatic patient groups.

