Unusual association of congenital kyphosis and conus lipoma presenting as a double spinal cord tether

Carlos A Aguiar; Sergio Mendoza-Lattes; Peter Cobb; Arnold Menezes; Stuart L Weinstein

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Unusual association of congenital kyphosis and conus lipoma presenting as a double spinal cord tether

Journal article

Open access

Peer reviewed

Unusual association of congenital kyphosis and conus lipoma presenting as a double spinal cord tether

Carlos A Aguiar, Sergio Mendoza-Lattes, Peter Cobb, Arnold Menezes and Stuart L Weinstein

The Iowa orthopaedic journal, Vol.27, pp.85-89

2007

PMCID: PMC2150652

PMID: 17907436

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2150652/View

Published (Version of record) Open Access

Abstract

The case of a four-year-old child is described who presented to our institution with cervicothoracic deformity and a two-year history of progressive paraparesis. His past medical history was significant for meningocele which was closed at age two months. Imaging studies revealed severe congenital kyphosis with a hypoplastic T3 vertebra, as well as a tethered filum terminale with a conus lipoma. The spinal cord was found to be severely compressed at the apex of the kyphotic deformity. Discussion is focused on the diagnosis of tethered cord syndrome, and treatment options. In particular, this case required careful thought on the order of events, which followed initial tethered cord release and removal of the conus lipoma, and subsequent kyphectomy and fusion of the upper thoracic spine. A favorable clinical outcome was obtained with complete reversal of the paraparesis.

Radiography

Magnetic Resonance Imaging

Lipoma - complications

Humans

Lipoma - surgery

Central Nervous System Neoplasms - surgery

Child, Preschool

Kyphosis - congenital

Male

Spinal Cord Compression - surgery

Kyphosis - diagnostic imaging

Spinal Cord Compression - etiology

Spinal Fusion

Kyphosis - complications

Thoracic Vertebrae - surgery

Kyphosis - surgery

Neurosurgical Procedures - methods

Dura Mater

Central Nervous System Neoplasms - complications

Spinal Cord Compression - diagnosis

Details

Title: Subtitle: Unusual association of congenital kyphosis and conus lipoma presenting as a double spinal cord tether
Creators: Carlos A Aguiar - Hospital Pequeno Principe, Ortopedia Pediatrica, R. Desembargador Motta, 1070 Curitiba, Parana, Brasil
Sergio Mendoza-Lattes
Peter Cobb
Arnold Menezes
Stuart L Weinstein
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.27, pp.85-89
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 17907436
PMCID: PMC2150652
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2007
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Neurosurgery; Otolaryngology
Record Identifier: 9984040538002771

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