Treatment of spinal deformity with diastematomyelia type I: one-stage, two-stage surgery and new technique (vertebral column resection through wide bony septum)

Sergeenko, Olga M; Savin, Dmitry M.; Ryabykh, Sergey

doi:10.1007/s00381-021-05382-7

Cited by 5 publications

(7 citation statements)

References 28 publications

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“…The mean age of the diagnosed was approximately nine years. The intervention includes decompression of the neural elements, excision of the tissue between the hemicords, and reconstruction of the doubled dural sacs [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…This requires a surgical intervention in which the formation is removed with precision [ 1 ]. The intervention includes decompression of the neural elements, excision of the tissue between the hemicords and reconstruction of the doubled dural sacs [ 8 ]. MRI of the patient presented in this case also discovered the presence of a bony spur, which should be removed surgically if conservative treatment fails or the condition worsens over time.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Lumbar Region Diastematomyelia in a 25-year-old Woman With Lower Back Pain

Velchev,

Iliev,

Petrov

et al. 2024

Cureus

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Diastematomyelia is an infrequent congenital anomaly that anatomically presents with a longitudinal division of the spinal cord at the level of one or several sections. It is generally diagnosed and treated in children. We present a 25-year-old female patient who has entered the Neurosurgery clinic after a traumatic experience with severe low back pain evaluated with 7 points on the visual analog scale (VAS). Magnetic resonance imaging (MRI) of the lumbar area discovered evidence for diastematomyelia type 1 at levels L3-L5 with deformations in L4 and L5 vertebrae and mild scoliosis. Because of the lack of neurological deficiency, the patient's treatment was conservative and included a 10-day intake of nonsteroid anti-inflammatory drugs (NSAIDs) in combination with myorelaxant and physiotherapy. On the 15 th day, the patient was evaluated with 2 points on VAS. Neurological follow-up examinations were conducted on the third and the sixth month and the patient was evaluated with VAS 1, which proves that conservative treatment is successful for diastematomyelia in adults without neurological deficiency.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Case of Lumbar Region Diastematomyelia in a 25-year-old Woman With Lower Back Pain

Velchev,

Iliev,

Petrov

et al. 2024

Cureus

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“…In cases where severe symptoms are present, or conservative treatment has failed, surgery can be performed. Even though surgery provides a de nitive treatment for the condition, its role is still controversial [19]. The usual course of the surgery involves decompressing the spinal cord, followed by the removal of the bony spur or the brous septum, and then repairing and reconstructing the dural sacs.…”

Section: Discussionmentioning

confidence: 99%

Type 1 Diastematomyelia Presenting in Adulthood; an Atypical Presentation of Case Report

Shahzad,

Shehzad,

Younis

et al. 2024

Preprint

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Diastematomyelia is an uncommon congenital spinal cord abnormality, which is classically found in females and children. It involves the splitting of the spinal cord, either by a bony spur or by a fibrous septum. Diagnosis is usually made by using radiological investigations such as MRI and CT scans. In this case report, we present a rare case of an adult presenting with symptoms of lower back pain, urinary incontinence, and decreased sensation in the perineum secondary to diastematomyelia. MRI was used for diagnosis and a lower thoracic spinal cord malformation was noted. She failed conservative treatment and was referred for surgery. A large Tarlov cyst was also noted upon operation. She tolerated the operation well and had good motor evoked potentials after the surgery. Moreover, she also reported resolution of bladder function at 3 months follow-up.

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“…[36,37] For patients with a tethered spinal cord combined with a split spinal cord, the tethered spinal cord is usually released by resection of the bony mediastinum. [38][39][40] However, considering the complicated situation such as thoracic disc herniation and kyphosis in this case, in order to prevent the possibility of a large operation scope, a long operation time, excessive bleeding, etc. We propose a dekyphotic correction combined with a posterior osteotomy.…”

Section: Discussionmentioning

confidence: 99%

Dekyphosis operation combined with limited osteotomy to treat the symptomatic adult tethered cord syndrome with complicated malformations: A case report

Ji¹,

Xiao²,

Wang³

et al. 2023

Medicine

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Rationale: Tethered cord syndrome (TCS) represents a spectrum of neurological symptoms that are caused by constant or intermittent axial traction of the terminal cone of the spinal cord due to abnormal positioning. It is uncommon for abnormal structures of TCS to be accompanied by split cord malformation, thoracic spinal stenosis, and other spinal cord diseases. Patient concerns: A 45-year-old male patient visited our hospital due to severe lower back pain, extensive left lower limb muscle weakness, and intermittent claudication. Diagnoses: TCS combined with stenosis of the thoracic canal, split cord malformation, and kyphosis deformity. Interventions: The patient underwent Dekyphosis operation combined with limited osteotomy symptoms. Outcomes: The patient felt the right lower limb improved after surgery. At 4-month follow-up, a radiological examination showed adequate decompression of the spinal cord and a good internal fixation position. Overall, the patient’s clinical symptoms significantly improved. Conclusion: This is a rare case of TCS combined with thoracic disc herniation and bony mediastinum. A more conservative invasive surgical approach was elected and markedly improved the patient’s symptoms. Additional clinical cases are needed to confirm the stability and feasibility of this surgical approach.

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Treatment of spinal deformity with diastematomyelia type I: one-stage, two-stage surgery and new technique (vertebral column resection through wide bony septum)

Cited by 5 publications

References 28 publications

A Rare Case of Lumbar Region Diastematomyelia in a 25-year-old Woman With Lower Back Pain

A Rare Case of Lumbar Region Diastematomyelia in a 25-year-old Woman With Lower Back Pain

Type 1 Diastematomyelia Presenting in Adulthood; an Atypical Presentation of Case Report

Dekyphosis operation combined with limited osteotomy to treat the symptomatic adult tethered cord syndrome with complicated malformations: A case report

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