A myelomeningocele with spina bifida in the thoracic region is a relatively rare, congenital anomaly. This case, which we have experienced recently, is reported with a review of the literatures.
Meningomyelocele* ; Spinal Dysraphism

With advancements in corrective surgery for spina bifida since the 1960s, affected women are now reaching adulthood and achieving pregnancies. However, the implications on reproductive health?especially in pregnancy?are rarely studied. We are presenting a case of a woman born with spina bifida who has undergone surgical repair and closure of the defect at 4 years old, as well as surgical management for tethered cord at 13 years old. She lived productively into adulthood, became pregnant and delivered vaginally to a healthy baby despite various obstetrical challenges. In the care for this patient, we faced recurrent urinary tract infections, the risk of preterm delivery and the task of coordinated multidisciplinary care to solve dilemmas in decision making. Through this case report, we were able to share our experience, explore the most recent evidence to support our clinical decisions and hopefully serve as a basis for future clinical practice recommendations.
Pregnancy ; Female ; Spinal Dysraphism

Extradural lipomas have been frequently reported in the literature, but intramedullary lipomas are far rarer, constituting only approximately 2% of total intramedullary tumors. Intramedullary lipomas are also commonly associated with spinal dysraphism. Lipomas which are not associated with spinal dysraphism are present in only about 1% of spinal lipoma patients. Here, we report a rare case of a patient suffering from an isolated intramedullary lipoma without evidence of spinal dysraphism.
Humans ; Lipoma* ; Spinal Cord* ; Spinal Dysraphism*

The purpose of this study is to analyze the statistics of length and obliquity of the transverse processes, transitional vertebra, spina bifida and lumbar rib in the lumbar spine A-P films of 500 cases by random sample. The length of the transverse process was compared with the shortest distance of from the outmost point of it to the vertical line which was given at the spinous process of the corresponding vertebral body. The obliquity of the transverse process was represented by angle shaped by the central vertical line of the vertebral body and the central line of its transverse process. Transitional vertebra were identified by counting down from the C1 or T1 vertebral body. No difficulty was encountered in distinguishing spina bifida and lumbar rib. The results were as follows: 1. In the typical lumbar spine, the length of the L3 transverse process was the longest of all the transverse processes except for that of L5 and the direction of the transverse process was horizontal in the L1, L2 and L3 but a little oblique upward in the L4 and L5. 2. Lumbarization was slightly higher than sacralization in incidence. 3. The incidence of spina bifida was 11.8% and mainly observed in male. 4. The incidence of lumbar rib was 1.8% and all were attached to the L1.
Humans ; Incidence ; Male ; Ribs ; Spinal Dysraphism ; Spine*

The spondylolysis is a defective ossification in the pars interarticularis of the neural arches without displacement of the vertebral body. The authors analysed 810 lumbar spines of adult Korean laborers on the basis examined to determine the anatomic characteristics of spondylolysis. The following results were obtained. 1. The overall incidence in laborer was 6.8%. 2. The most frequent site of the involvement was the fifth lumbar vertebra. of radiologic study and 3. Spina bifida in spodylolysis was approximately 1.7 times as frequent as is normally expected. 4. Lumbarization in spondylolysis was approximately 5.8 times as frequent as is normally expected. 5. Sacralization was not found in 55 cases of spondylolysis.
Adult ; Humans ; Incidence ; Spinal Dysraphism ; Spine ; Spondylolysis

Spina bifida or cranium bifidum result from a failure in fusion of skull(cranium bifidum) or the vertebral column(spina bifida). These entities are the most common anomalies of the nervous system which are associated with major abnormalities of cellular migration, and secondary mechanical deformities of the nervous system. During the last 12 years from Jan. 1967 to Dec. 1978, 83 cases of spina bifida and cranium bifidum had been admitted to the department of Pediatrics, Severance Hospital and evaluated clinically. Literature review were also made birefly.
Congenital Abnormalities ; Encephalocele* ; Nervous System ; Pediatrics ; Skull* ; Spinal Dysraphism*

The authors experienced a case of oculo-auriculo-vertebral syndrome(Goldenhar's syndrome) onsisting of epibulbar dermoid, preauricular appendages, pretragal blind fistula, and spina bifida in 16 year old girl. We are presenting the above case with reference to several literatures.
Adolescent ; Dermoid Cyst ; Female ; Fistula ; Humans ; Spinal Dysraphism

The congenital lumbosacral anomalies include spondylolisthesis, sacralization, lumbarization, spina bifida and others, and it has been reprted in the relevant literature that low back pain does not necssary to be complicated with these congenial anomalies of lumbo-sacral region. The incidence of this congenital anomalies in this country seems to be as rare as that other literatures. 27 cases of congenital lumbosacral anomalies treated at the Department of Orthopedic Surgery National Medical Center through the year of 1958 to 1969 were analyzed and reported in this paper. 1 Out of 27 cases, eight cases were sacralization. five were lumbarization, 11 were spondylolisthesis and three were spondylolysis. 2. Nine were treated by operation anb 18 were treated without operation. Out of nine operations, six cases were operated by transversectomy, among them sacralization and lumbarization were three respectively, and three cases were operated by anterior lumbo-sacral fusion in spondylolithesis. 3. The result of the cases treated by operation was superior to the result of the cases treated without operation in this series. Eight cases out of nine had good results in the group of operation, while five cases out of 18 had good results in the group of without operation.
Incidence ; Low Back Pain ; Orthopedics ; Spinal Dysraphism ; Spondylolisthesis ; Spondylolysis

STUDY DESIGN: It is a case series involving clinical presentation, radiological findings, surgical technique and long term outcome of Non-dysraphic intramedullary spinal cord lipomas in adults along with the review of the literature. PURPOSE: The purpose of the study is to find out from our series as well as from literature what determines the long term outcome and how it can be improved in patients diagnosed to have intramedullary spinal cord lipomas. OVERVIEW OF LITERATURE: Non-dysraphic spinal intramedullary lipomas in adults are extremely rare. Majority of cases occur in children and in cervico-dorsal regions. Only eight cases of dorso-lumbar spinal lipomas without spinal dysraphism in adults have been reported in the English literature till 2013. METHODS: Here we report our experience with three such cases in the dorsolumbar region and discuss the surgical technique and the long term outcome of such cases. RESULTS: Review of literature and from our own cases we conclude that long term outcome after surgery is determined by the preoperative neurological status. CONCLUSIONS: Earlier surgical intervention with preserved neurological status results in better outcome. Radical subtotal excision without producing iatrogenic postoperative neurological deficit should be the goal of the surgery and it stabilizes the disease process in the long run. When early clinico-radiological signs of recurrence develop, such patient's to be reoperated immediately to prevent them from developing a fixed neurological deficit.
Adult* ; Child ; Humans ; Lipoma* ; Recurrence ; Spinal Cord Neoplasms ; Spinal Cord* ; Spinal Dysraphism

Intradural lipomas not associated with spinal dysraphism are rare tumors of the spinal canal. The clinical course of most of the patients with intradural lipoma is slowly progressive with increasing leg weakness and gait disturbance during the first 5 years of life or early adulthood. Since neurologic deficits usually occur very slowly and insidiously, symptoms are present over 2 years in the majority of patients before a diagnosis is made. In view of such a clinical course, a huge intradural lipoma presenting with no neurological deficits in an adult is a very rare case. We present our recent experience with a case of a huge intradural lipoma of the cervical cord without any association with spinal dysraphism and other anomalies of the spine in a neurologically intact adult patient. A review of the literature is also discussed.
Adult ; Diagnosis ; Gait ; Humans ; Leg ; Lipoma* ; Neurologic Manifestations ; Spinal Canal ; Spinal Dysraphism ; Spine