HISTORY
- 4 year old male child-Tuft of hair over lumber spine since birth
- Born at full term §
- Pre and post-natal histories were not contributory
- Physical and mental development were normal
EXAMINATIONS
§
- No neurological deficits
- §
- Tuft of hair on the back at lumber spine
- §
- 3D CT reconstruction
- §
- MRI lumbosacaral spine
INTRA-OPERATIVE FINDINGS
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- Hypertrophic posterior elements §
- Two bony spurs at L1 and L3, covered by dural sleeves, extradural in location
- Type 1 SCM
- The two spurs were complete i.e. from vertebral body to lamina
- Upper spur was cephalad and the lower one was caudal in direction
- Postoperative period uneventful
TREATMENT
§D12-L4 laminectomy with excision of bony spurs L1 and L3 with detethering of cord done on 17.03.11
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