Neurosurgery, USTTB, Bamako, Mali
Neurosurgery, Mere Enfant Hospital, Bamako, Mali.
BMJ Case Rep. 2021 Jun 28;14(6):e243203. doi: 10.1136/bcr-2021-243203.
Sprengel deformity is a congenital abnormality done to the ascent of the scapular bone (which occurs probably between the 5th and 12th weeks of gestation). It can cause cosmetic or functional problems. The aim of our study was to describe this rare deformity, often neglected in our context, and its surgical management. We report a case of a 16-year-old boy with a Sprengel deformity associated with omovertebral intracanalar compressive bone seen on the CT scan. He reported neurological symptoms such as spastic paraparesis and walk disturbances. The bone was resected surgically and physiotherapy was set up. The outcome was good with noticeable neurological improvement of walk and balance, recovery of autonomy. Sprengel deformity is a rare pathology. Surgery must be done early and be adapted to the case.
肩胛高耸症是一种先天性肩胛骨上升畸形（可能发生在妊娠第 5 至 12 周之间）。它会导致美容或功能问题。我们的研究目的是描述这种在我们的背景下经常被忽视的罕见畸形及其手术治疗。我们报告了一例 16 岁男孩的病例，该男孩患有肩胛高耸症，伴有 CT 扫描所见的过顶椎椎管内压迫性骨。他报告有神经症状，如痉挛性截瘫和行走障碍。通过手术切除了骨头，并进行了物理治疗。结果良好，行走和平衡的神经功能明显改善，恢复了自主性。肩胛高耸症是一种罕见的疾病。手术必须尽早进行，并根据具体情况进行调整。
