Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

DIASTEMATOMYELIA AS A TANGLE OF VERTEBRAL, ORTHOPAEDIC, NEUROSURGICAL, AND SOMATIC PROBLEMS

https://doi.org/10.14531/ss2008.2.18-24

Abstract

Literature review presents an analysis of publications on diastematomyelia – a rare spine and spinal cord abnormality. Studies performed during the period of 1970–2006 were devoted to vertebral, orthopaedic, urological, and neurosurgical aspects of the given pathology. Absolute indications for surgery are described in the review. The attitude of surgeons to prophylactic spinal septum resection for diastematomyelia without neurological deficit is presented.

About the Author

Eduard Vladimirovich Ulrikh
St. Petersburg State Pediatric Medical Academy
Russian Federation


References

1. Андрияничева Е.Н., Пустовитова Т.С., Липко В.С. и др. Асимптомное течение диастематомиелии: роль магнитно-резонансной томографии в диагностике (клиническое наблюдение) // Медицинская визуализация. 2003. № 2. С. 124–127.

2. Мушкин А.Ю., Ульрих Э.В., Млодик М.Г. Скрининг-диагностика пороков развития позвоночника и спинного мозга при врожденных деформациях позвоночника у детей методом ультразвуковой томографии // Организация помощи и вопросы клиники в детской ортопедии. Саратов, 1992. С. 44–47.

3. Никифоров Б.М., Смирнов Г.И., Диденко Э.В. Диастематомиелия позвоночника в сочетании с дермоидной опухолью конского хвоста // Педиатрия. 1972. № 8. С. 81–82.

4. Никифоров Б.М., Ульрих Э.В. Хирургическое лечение диастематомиелии у детей // Вопросы детской нейрохирургии. Л., 1985. С. 142–146.

5. Ульрих Э.В. Фиброзные перегородки позвоночного канала у детей с аномалиями развития опорно-двигательного аппарата // Хирургия. 1987. № 8. С. 105–107.

6. Ульрих Э.В. Аномалии позвоночника у детей. СПб., 1995.

7. Ульрих Э.В., Елякин Д.В. Хирургическая тактика при диастематомиелии в зависимости от анатомического варианта порока // Актуальные вопросы детской хирургии. Иркутск, 1996. С. 288–291.

8. Anderson N.G., Jordan S., MacFarlane M.R., et al. Diastematomyelia: diagnosis by prenatal sonography // AJR Am. J. Roentgenol. 1994. Vol. 163. P. 911–914.

9. Andronikou S., Figgen A.G. Klippel-Feil syndrome with cervical diastematomyelia in a 8-year old boy // Pediatr. Radiol. 2001. Vol. 31. P. 636.

10. Barson A.J. The vertebral level of termination of the spinal cord during normal and abnormal development // J. Anat. 1970. Vol. 106. P. 489–497.

11. Basu P.S., Elsebaie H., Noordeen M.H. Congenital spinal deformity: a comprehensive assessment at presentation // Spine. 2002. Vol. 27. P. 2255–2259.

12. Bollini G., Cottalorda J., Jouve J.L., et al. Dysraphisme spinal ferme // Ann. Pediatr. (Paris). 1993. Vol. 40. P. 197–210.

13. Boulot P., Ferran J.L., Charlier C., et al. Prenatal diagnosis of diastematomyelia // Pediatr. Radiol. 1993. Vol. 23. P. 67–68.

14. Dammert S., Krings T., Kochs A., et al. Mеhrschicht-Spiral-CT und MRT in der Diagnostik einer komplexen Diastematomyelie // Klin. Neuroradiol. 2002. N 3. S. 136–140.

15. David K.M., Copp A.J., Stevens J.M., et al. Split cervical spinal cord with Klippel-Feil syndrome: seven cases // Brain. 1996. Vol. 119. P. 1859–1872.

16. Ersahin Y. Composite type of split cord malformations // Childs Nerv. Syst. 2002. Vol. 18. P. 111.

17. Frerebeau P., Dimeglio A., Gras M., et al. Diastematomyelia: report of 21 cases surgically treated by a neurosurgical and orthopedic team // Child’s Brain. 1983. Vol. 10. P. 328–339.

18. Fitz C.R., Harwood-Nash D.C. The tethered conus // Am. J. Roentgenol. Radium Ther. Nucl. Med. 1975. Vol. 125. P. 515–523.

19. Gezgin A., Markmiller M. [Diastematomyelia - a rare differential diagnosis in trauma patients] // Unfallchirurg. 2006. Vol. 109. P. 914–918. German.

20. Gilmor R.L., Batnitzky S. Diastematomyelia – rare and unusual features // Neuroradiology. 1978. Vol. 16. P. 87–88.

21. Goldberg C., Fenelon G., Blake NS., et al. Diastematomyelia: a critical review of the natural history and treatment // Spine. 1984. Vol. 9. P. 367–372.

22. Gubbels J.L., Gold W.R., Bauserman S. Prenatal diagnosis of fetal diastematomyelia in a pregnancy exposed to acyclovir // Reprod. Toxicol. 1991. Vol. 5. P. 517–520.

23. Guthkelch A.N., Hoffman G.T. Tethered spinal cord in association with diastematomyelia // Surg. Neurol. 1981. Vol. 75. P. 352–354.

24. arwood-Nash D.C., McHugh K. Diastematomyelia in 172 children; the impact of modern neuroraiology // Pediatr. Neurosurg. 1991. Vol. 16. P. 247–251.

25. Hilal S.K., Marton D., Pollack E. Diastematomyelia in children. Radiographic stady of 34 cases // Radiology. 1974. Vol. 112. P. 609–621.

26. Hood R.W., Riseborough E.J., Nehme A.M., et al. Diastematomyelia and structural spinal deformities // J.Bone Joint. Surg. Am. 1980. Vol. 62. P. 520–528.

27. Hulser P.J., Schroth G., Peterson D. Magnetic resonance and CT imaging of diastematomyelia // Eur. Arch. Psychiatry Neurol. Sci. 1985. Vol. 235. P. 107–109.

28. Humphreys R.P., Hendrick E.B., Hoffman H.J. Diastematomyelia. // In: Weis M.H. (ed.): Clinical Neurosurgery. Baltimore, 1982. Vol. 23. P. 436–456.

29. Keim H.A., Green A.F. Diastematomyelia and scoliosis // J. Bone Joint Surg. Am. 1973. Vol. 55. P. 1425–1435.

30. Konner C., Gassner I., Mayr U., et al. [Diagnosis of diastematomyelia using ultrasound] // Klin. Pediatr. 1990. Vol. 202. P. 124–128. German.

31. Lassale B., Rigault P., Pouliquen J.C., et al. [Diastematomyelia] // Rev. Chir. Orthop. 1980. Vol. 66. P. 123–140. French.

32. James C.C.M., Lassman L.P. Spinal dysraphism. The diagnosis and treatment of progressive lesions in spina bifida occulta // J. Bone Joint Surg. Br. 1962.Vol. 44. P. 828–840.

33. James C.C.M., Lassman L.P. Spinal Dysraphism. Spina bifida occulta. N. Y., 1972.

34. Jindal A., Kansal S., Mahapatra A.K. Split cord malformation with partial eventration of diaphragm. A case report // J. Neurosurg. 2000. Vol. 93. P. 309–311.

35. Jindal A., Mahapatra A.K. Split cord malformation. A study of 48 cases // Indian. J. Pediatr. 2000. Vol. 37. P. 603–607.

36. McMaster M.J. Occult intraspinal anomalies and congenital scoliosis // J. Bone Joint Surg. Am.1984. Vol. 66. P. 588–601.

37. McMaster M.J. Congenital scoliosis caused by a unilateral failure of vertebral segmentation with contralateral hemivertebrae // Spine. 1998. Vol. 23. P. 998–1005.

38. McMaster M.J. Spinal growth and congenital deformity of the spine // Spine. 2006. Vol. 31. P. 2284–2287.

39. Mahapatra A.K., Gupta D.K. Split cord malformations: a clinical study of 254 patients and a proposal for new clinical-imaging classification // J. Neurosurg. 2005. Vol. 103. Suppl. 6. P. 531–536.

40. Maroun F.B., Jacob J.C., Heneghan W.D. [Diastematomyelia. Its clinical manifestations and surgical treatment] // Neurochirurgie. 1972. Vol. 18. P. 285–316. French.

41. Martin K., Krastel A., Hamer J., et al. Symptomatology and diagnosis of diastematomyelia in children // Neuroradiology. 1978. Vol. 16. P. 89–90.

42. Meacham W.F. Surgical treatment of diastematomyelia // J. Neurosurg. 1967. Vol. 27. P. 78–85.

43. Miller A., Guille J.T., Bowen J.R. Evaluation and treatment of diastematomyelia // J. Bone Joint Surg. Am. 1993. Vol. 75. P. 1308–1317.

44. Neuhauser E.B.D., Wittenborg M.H., Dehlinger K. Diastematomyelia: transfixation of the cord or cauda equina with congenital anomalies of the spine // Radiology. 1950. Vol. 54. P. 659–664.

45. Nikiforoff B.M., Ulrich E.V. Clinical data and surgical treatment of diastematomyelia // J. Neurol. Orthop. Med. Surg. 1988. Vol. 9. P. 49–53.

46. Palmers M., Peene P., Massa G., et al. Cervicothoracic diastematomyelia with Klippel-Feil syndrome // Rofo. 2003. Vol. 175. P. 1579–1581.

47. Pang D. Split cord malformation: Part II: Clinical syndrome // Neirosurgery. 1992. Vol. 31. P. 481–500.

48. Pang D., Dias M.S., Ahab-Barmada M. Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations // Neirosurgery. 1992. Vol. 31. P. 451–480.

49. Perret G. Diagnosis and treatment of diastematomyelia // Surg. Gynecol. Obstet. 1957. Vol. 105. P. 69–83.

50. Raghavendra B.N., Epstein F.J., Pinto R.S., et al. Sonographic diagnosis of diastematomyelia // J. Ultrasound. Мed. 1988. Vol. 7. P. 111–113.

51. Ritchie G.W., Flanagan M.N. Diastematomyelia // Canad. Med. Assoc. J. 1969. Vol. 100. P. 428–433.

52. Sheptak P.E. Diastematomyelia – dyplomyelia // In: Handbook of Clinical Neurology. Edited by P. J. Vincken and G. W. Bruyn. 1978. Vol. 32. Congenital. Malformations of the Spine and Spinal Cord. P. 239–254.

53. Scheible W., James H.E., Leopold G.R., et al. Occult spinal dysraphism in infants: screening with high-resolution real-time ultrasound // Radiology. 1983. Vol. 146. P. 743–746.

54. Schijman E. Split spinal cord malformations. Report of 22 cases and review of the literature // Child’s Nerv. Syst. 2003. Vol. 19. P. 96–103.

55. Sinha S., Agarwal D., Mahapatra A.K. Split cord malformations: an experience of 203 cases // Childs Nerv. Syst. 2006. Vol. 22. P. 3–7.

56. Steinbock P. Dysraphic lesions of the cervical spinal cord // Neurosurg. Clin. N. Am. 1995. Vol. 6. P. 367–376.

57. Ulmer JL., Elster AD., Ginsberg LE., et al. Klippel-Feil syndrome: CT and MR of acquired and congenital abnormalities of cervical spine and cord // J. Comput Assist Tomogr. 1993. Vol. 17. P. 215–224.

58. Uzumcugil A., Cil A., Yazici M., et al. The efficacy of convex hemiepiphysiodesis in patients with iatrogenic posterior element deficiency due to diastematomyelia excision // Spine. 2003. Vol. 28. P. 799–805.

59. Vahishya S., Kumarjain P. Split cord malformation: three unusual cases of composite split cord malformation // Child’s Nerv. Syst. 2001. Vol. 17. P. 528–530.

60. Winter R.B., Haven J.J., Moe J.H., et al. Diastematomyelia and congenital spine deformities // J. Bone Joint Surg. Am. 1974. Vol. 56. P. 27–39.

61. Winter R.B. Congenital Deformities of the Spine. New York: Thieme-Stratton, 1983. P. 343

62. Winter R.K., McKnight L., Byrne RA., et al. Diastematomyelia: prenatal ultrasonic appearances // Clin. Radiol. 1989. Vol. 40. P. 291–294.


Review

For citations:


Ulrikh E.V. DIASTEMATOMYELIA AS A TANGLE OF VERTEBRAL, ORTHOPAEDIC, NEUROSURGICAL, AND SOMATIC PROBLEMS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2008;(2):018-024. (In Russ.) https://doi.org/10.14531/ss2008.2.18-24



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)