Spondylocostal dysostosis with split cord malformation in a resource-limited setting: A case report

Spondylocostal dysostosis (SCD) is a rare congenital disorder marked by severe vertebral and rib malformations, often resulting in thoracic insufficiency and respiratory issues. This report presents an 11-day-old neonate with persistent respiratory distress and chest wall deformities, found to have multiple rib agenesis, vertebral segmentation defects, and an associated split cord malformation (SCM). Although early surgical intervention can improve outcomes, the family chose conservative management due to accessibility and socioeconomic factors. The case highlights the complexities of managing Spondylocostal dysostosis (SCD), particularly when complicated by split cord malformation (SCM), and emphasizes the need for early diagnosis, comprehensive imaging, and individualized treatment strategies to optimize prognosis.