Presentation
Any spinal congenital anomaly may present in adulthood as a consequence of spinal cord tethering and/or development of syringomyelia. [uncch.pure.elsevier.com]
Here, the authors present an unusual oblique axis fracture occurring in conjunction with several malformations of the upper cervical spine. [surgicalneurologyint.com]
We hereby present a case of congenital malformed PAA with posterior midline fusion defect and secondary developmental canal stenosis at the level of atlas, presenting with cervical myelopathy. [jss.amegroups.com]
Congenital Brain and Spine Malformations: What You Need to Know Congenital means present at birth. These conditions may be mild and without symptoms or serious, requiring treatment. Surgery may be recommended to: Address your child’s symptoms. [hopkinsmedicine.org]
- diff dx: - juvenile rheumatoid arthritis; - rheumatoid spondylitis; - Clinical Presentation: -Often incidental finding -Anomalies present at birth -Diagnosed at later age -Presentation: Abnormal head position Torticollis Restricted Cervical ROM Patients [wheelessonline.com]
Neurologic
- Paresthesia
Since most patients are asymptomatic for many years, the majority of them remain undiagnosed until neck injury, pain or paresthesias in the neck or arm warrant an imaging evaluation. [bmcmedimaging.biomedcentral.com]
Patients who were symptomatic with pure basilar impression had the dominant complaints of motor and sensory disturbances, and 85% had weakness and paresthesia of the limbs. [clinicalgate.com]
Patients with congenital spondylolisthesis show deficits in their neurological examinations. [5] A neurological evaluation includes an evaluation of pain, numbness, paresthesia, tingling, extremity sensation and motor function, muscle spasm, weakness [physio-pedia.com]
Workup
Isolated coccygeal dimples do not require further workup or treatment. FIGURE 9 Benign coccygeal dimple within the gluteal cleft and overlying the tip of the coccyx. [pediatrics.aappublications.org]
Workup consists of MRI of the brain and complete spine, including sagittal and axial views. [musculoskeletalkey.com]
Workup An accurate radiologic evaluation is essential. Standard posteroanterior (PA) and lateral views of the entire spine are used for the initial evaluation. [emedicine.medscape.com]
This commonly presents as progressive scoliosis, which is often “atypical” ( e.g ., levoscoliosis, young age, or male gender), and the diagnosis is made by MRI as part of the scoliosis workup. [wjgnet.com]
X-Ray
- Mediastinal Mass
The sine qua non for a neurenteric cyst is a wide anterior spina bifida through which there is a direct communication between a cystic posterior mediastinal mass and the subarachnoid space. [radiologykey.com]
Treatment
If the MRI scan shows any evidence of these malformations, a neurosurgical consultation is recommended to develop the best treatment plan. [hopkinsmedicine.org]
[…] range of motion may be limited, no treatment is indicated. [quizlet.com]
Conservative treatment is usually ineffective. The indication for operative treatment should be made before the deformity becomes unacceptable, as a correction is difficult and dangerous. [ncbi.nlm.nih.gov]
The most commonly found spinal congenital anomalies include the filum terminale lipoma which is generally asymptomatic and incidental and the caudal regression syndrome for which no primary treatment exists. [uncch.pure.elsevier.com]
Each patient is unique and a treatment plan is made based on the risk of curve progression during growth. The treatment options include observation, bracing, and surgical intervention. [espine.com]
Prognosis
The type of malformation determines the prognosis. [ncbi.nlm.nih.gov]
In addition, in cases where the natural history indicates a poor prognosis, orthotic treatment is contraindicated. [emedicine.medscape.com]
The prognosis of os odontoideum depends on the clinical presentation. The prognosis is good if only mechanical symptoms ( torticollis or neck pain) or transient neurological symptoms exist. It is poor if neurological deficits slowly progress. [boneandspine.com]
Which pattern has the worst prognosis and is an indication for surgery. Review Topic QID: 881 ML 1 Select Answer to see Preferred Response PREFERRED RESPONSE 5 (OBQ05.116) A 2-year-old girl presents to the office for evaluation of spinal deformity. [orthobullets.com]
Etiology
Klippel-Feil Syndrome: Clinical Features and Current Understanding of Etiology. Original Text by Clifford R. Wheeless, III, MD. [wheelessonline.com]
Large deformities can result due to the number of years of growth remaining. [16] Epidemiology /Etiology The etiology of congenital spine deformities varies greatly because there are many different types. [physio-pedia.com]
Although the exact etiology for this phenomenon is unknown, some attribute vertebral formation or segmentation anomalies to disruption of the vascular supply to that portion of the vertebral column[ 47 ]. [wjgnet.com]
Their etiology is not known, but it has been postulated that it may be similar to intraspinal lipomas, where dorsal mesenchyme is able to enter the neural tube secondary to premature disjunction and is subsequently induced to form these hamartomatous [radiologykey.com]
Retethering can occur, and if new symptoms suggest this as an etiology, reoperation is indicated. [musculoskeletalkey.com]
Epidemiology
Introduction Congenital scoliosis is the failure of normal vertebral development during 4th to 6th week of gestation caused by developmental defect in the formation of the mesenchymal anlage Epidemiology incidence prevalence in general population estimated [orthobullets.com]
Large deformities can result due to the number of years of growth remaining. [16] Epidemiology /Etiology The etiology of congenital spine deformities varies greatly because there are many different types. [physio-pedia.com]
Epidemiology Neural tube defects (NTDs) are among the most common congenital abnormalities but prevalence varies between countries and races. [jnnp.bmj.com]
Pathophysiology
Normal Embryology and the Pathophysiology of Spinal Cord Tethering Dysraphic CNS malformations arise during the second, third, and fourth weeks of human embryogenesis, generally referred to as the period of neurulation. [pediatrics.aappublications.org]
Prevention
This is the first documented research study that supports the TCM theory that "the Kidney governs the bones, and healthy bones give the body stabilization and prevent fracture." [ncbi.nlm.nih.gov]
The goal in these patients is to reestablish spinal balance and alignment and to prevent back pain, neurological deficits, as well as pulmonary lung dysfunction. [scoliosisassociates.com]
Depending on the type and severity of your child’s condition, the pediatrician may recommend one or more of the following treatment options: Back braces or casts in mild cases of scoliosis to prevent spine curvatures from worsening Surgery for kyphosis [childrensnational.org]
Prevent development of neurological deficits. What are congenital brain and spine malformations? Congenital abnormalities, called malformations, are conditions affecting the form and function of the nervous system. [hopkinsmedicine.org]
Early surgical intervention is vital to prevent the worsening of the curvature as the patient grows. To view video of imaging navigation for a complex scoliosis procedure, click on the image below. [espine.com]