Fabijan Artur, Polis Bartosz, Zakrzewski Krzysztof, Zawadzka-Fabijan Agnieszka, Korabiewska-Pluta Sara, Nowosławska Emilia
Department of Neurosurgery, Polish-Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Department of Rehabilitation Medicine, Medical University of Lodz, 90-419 Lodz, Poland.
Diagnostics (Basel). 2023 Jun 19;13(12):2108. doi: 10.3390/diagnostics13122108.
We present a case of a child who was transported to the Neurosurgery Clinic from another hospital for the purpose of performing a surgical procedure of the spinal myelomeningocele. On the first day of the stay, a set of tests was performed, including an anterior-posterior (AP) projection X-ray, which clearly showed a developmental defect in the lumbar-sacral section of the spine. In the follow-up physical examination, there was a depression of the skin on the right side of the surgical scar after closing the open myelomeningocele. In the follow-up MRI of the lumbar-sacral section, an extremely rare congenital anterior dislocation of the sacrococcygeal bone was unexpectedly visualized. Despite recommendations for further diagnostics, the patient did not attend the required follow-up examinations. In the final section, we provide a general summary of the literature on rare developmental defects of the spine in children.
我们报告一例患儿，其从另一家医院转至神经外科诊所，目的是进行脊髓脊膜膨出的外科手术。住院第一天进行了一系列检查，包括前后位（AP）X线投影，结果清楚显示脊柱腰骶部存在发育缺陷。在开放性脊髓脊膜膨出闭合后的随访体格检查中，手术瘢痕右侧皮肤有凹陷。在腰骶部的随访磁共振成像（MRI）中，意外发现了极为罕见的先天性骶尾骨前脱位。尽管建议进一步诊断，但患者未参加所需的随访检查。在最后部分，我们对儿童脊柱罕见发育缺陷的文献进行了总体总结。
