98. Heterotopic Ossification at the Index Level after ProDisc-C: What is the Clinical Significance?

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• 作者：Michael Janssen ; Jeffrey Goldstein ; Daniel Murrey ; Rick Delamarter
• 关键词：Diastematomyelia ; Type I split-cord malformation ; Scoliosis ; Tethered cord ; Adult presentation ; Intradural extramedullary epidermoid tumor
• 刊名：The Spine Journal
• 出版年：2007
• 期刊代码：243_15299430
• 类别：med
• 出版时间：September-October 2007
• 卷：7
• 期：5, Supplement 1
• 页码：48S-49S
• 文件大小：59 K

摘要

Diastematomyelia is a split-cord malformation often accompanied by other cord or column anomalies.

Purpose

To report on an adult patient with diastematomyelia and discuss the embryological basis and related developmental sequelae of this split-cord malformation.

Study design

Case report.

Methods

A summary of the management of a 54-year-old woman with recent clinical symptomatology related to an undiagnosed split-cord malformation is presented with accompanying literature review.

Results

A rare adult presentation of diastematomyelia with accompanying intradural extramedullary epidermoid tumor was repaired with resection of the soft-tissue mass and excision of the fibro-osseous septum.

Conclusion

Initial presentation of diastematomyelia is rarely seen in adults; accompanying pathology includes scoliosis, tethered cord, and intradural tumors. Effective treatment involves identification of the primary pathology.