L2 (AOSpine A3) fracture in a patient with asymptomatic diastematomyelia. Case report
DOI:
https://doi.org/10.1016/j.rccot.2017.09.006Keywords:
asymptomatic diastematomyelia, traumatic lumbar fracture, surgical treatmentAbstract
Diastematomyelia is an abnormality of the development of the neural tube, and is characterised by a sagittal division of the spinal cord. is the symptoms vary and may include pain, gait disorders, scoliosis, deformity of the feet, changes in sphincter control, skin stigmas, increased muscle tension, and hydrocephalus, among others. It is occasionally asymptomatic. The case is reported of a 24-year-old male, suffering a 4-metre fall and a lumbar spine fracture L2 (AOSpine A3, N0), with L1 type I diastematomyelia as an incidental finding and hemivertebra in T12. It was managed with stabilisation with pedicle screws, with a good outcome. The management of these patients must be individualised, the pedicle screws offer satisfactory results with low risk of neurological damage.
Evidence level: IV.
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