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Congenital vertebral displacement

J Shapiro1, J Herring

  • 1Texas Scottish Rite Hospital for Crippled Children, Dallas 75219-3993.

The Journal of Bone and Joint Surgery. American Volume
|May 1, 1993
PubMed
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Congenital vertebral displacement, a rare spinal abnormality, can cause neurological deficits. Combined surgical approaches like arthrodesis and decompression are recommended for treatment.

Area of Science:

  • Orthopedics
  • Neurology
  • Developmental Biology

Background:

  • Congenital vertebral abnormalities affect spinal development.
  • Congenital vertebral displacement is a specific type characterized by neural canal displacement.
  • Early identification is crucial for managing potential neurological complications.

Purpose of the Study:

  • To define and characterize congenital vertebral displacement.
  • To analyze the patterns of deformity and associated neurological deficits.
  • To evaluate treatment outcomes and provide recommendations.

Main Methods:

  • Retrospective review of 642 patients with congenital vertebral abnormalities.
  • Identification and classification of ten patients with congenital vertebral displacement (Type A and Type B).

Related Experiment Videos

  • Analysis of clinical presentation, neurological status, and intraoperative findings.

    • Main Results:

    • Ten cases of congenital vertebral displacement identified, with two distinct patterns (Type A: sagittal, Type B: multiplanar).
    • Spinal deformity typically noted in infancy.
    • Six patients presented with or developed neurological deficits, including paraplegia and progressive abnormalities.
    • Five patients exhibited significant mechanical instability, contributing to myelopathy.

    Conclusions:

    • Congenital vertebral displacement is associated with significant neurological risks due to instability and spinal cord compression.
    • Combined anterior and posterior spinal arthrodesis is recommended for treatment.
    • Spinal cord decompression is indicated for acute or progressive neurological deficits and may be considered for long-standing deficits post-stabilization.