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Congenital Anterior Dislocation of the Sacrococcygeal Bone in a Newborn
Artur Fabijan1, Bartosz Polis1, Krzysztof Zakrzewski1
1Department of Neurosurgery, Polish-Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Abstract:
We present a case of a child who was transported to the Neurosurgery Clinic from another hospital for the purpose of performing a surgical procedure of the spinal myelomeningocele. On the first day of the stay, a set of tests was performed, including an anterior-posterior (AP) projection X-ray, which clearly showed a developmental defect in the lumbar-sacral section of the spine. In the follow-up physical examination, there was a depression of the skin on the right side of the surgical scar after closing the open myelomeningocele. In the follow-up MRI of the lumbar-sacral section, an extremely rare congenital anterior dislocation of the sacrococcygeal bone was unexpectedly visualized. Despite recommendations for further diagnostics, the patient did not attend the required follow-up examinations. In the final section, we provide a general summary of the literature on rare developmental defects of the spine in children.
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