“…2 When these lesions are present in association with a segmental and minimal growth hemangioma, the LUMBAR association may be present [L (lower body hemangioma, lipoma, and other cutaneous defects) U (urogenital anomalies and ulceration) M (myelopathy) B (boney deformities) A (anorectal malformations and arterial anomalies) R (renal anomalies)]. Approximately 30% of these patients will have associated tethered cord, and early diagnosis and treatment is necessary to lessen the risk of permanent neurologic damage [3][4][5] (Fig. 1).…”