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Diastematomyelia and structural spinal deformities

R W Hood, E J Riseborough, A M Nehme

    The Journal of Bone and Joint Surgery. American Volume
    |January 1, 1980
    PubMed
    Summary
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    Diastematomyelia, a spinal condition, often co-occurs with congenital scoliosis and neural deficits. Surgical intervention for the spinal spur can alleviate neurological issues in select cases.

    Area of Science:

    • Pediatric Orthopedics
    • Neurosurgery
    • Spinal Deformities

    Background:

    • Diastematomyelia is a congenital vertebral anomaly.
    • It frequently presents with spinal deformities and neurological deficits.

    Purpose of the Study:

    • To review the clinical presentation and management of diastematomyelia.
    • To evaluate the outcomes of surgical intervention for diastematomyelia.

    Main Methods:

    • Retrospective review of 60 patients diagnosed with diastematomyelia over 30 years.
    • Analysis of associated vertebral abnormalities, neural deficits, and diagnostic methods.
    • Evaluation of surgical outcomes following laminectomy for spur removal.

    Main Results:

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  • 60% of patients had congenital scoliosis.
  • 87% presented with a neural deficit.
  • Myelography aided diagnosis, especially before spinal cord traction procedures.
  • Laminectomy improved neural deficits in 10 patients.

    • Conclusions:

    • Diastematomyelia often involves vertebral abnormalities and neural deficits.
    • Myelography is a valuable diagnostic tool.
    • Surgical removal of the spur can be beneficial for progressive or pre-surgical neural deficits.
    • Observation is suitable for patients without neural deficits or with stable deficits.