ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2013
Split cord malformation types I and II: a personal series of 131 patients.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Split cord malformation concomitant with spinal teratoma without open spinal dysraphism.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Pooled it
- Fetal imaging approach to spinal dysraphism diagnosis.Pediatric radiology · 2026Review
- Clinical characteristics and surgical outcomes of split cord malformations: A retrospective analysis.Surgical neurology international · 2026Article
- Composite type split cord malformation: a two-center study and analysis of a series of 25 cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- Split cord malformation - a simple, current classification based on CT and MRI neuroimaging studies.Polish journal of radiology · 2025Review
- Pre-operative clinical deterioration and long-term surgical outcomes in 41 patients with split cord malformation type 1.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- [Classification and microsurgical treatment of primary tethered cord syndrome in adults].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023Article
- A Case of Neonate with Split Cord Malformation Presenting with Hypoplasia of the Left Lower Extremity.Medicina (Kaunas, Lithuania) · 2023Article
- Adult-onset presentation of cervicothoracic split cord malformation: illustrative case.Journal of neurosurgery. Case lessons · 2021Article
- Posterior-only surgical correction with heavy halo-femoral traction for the treatment of rigid congenital scoliosis associated with split cord malformation.BMC musculoskeletal disorders · 2020Article
- Combined Type 1 and 2 split cord malformations, kyphoscoliosis, tethered cord, and a lipoma.Surgical neurology international · 2020Article
- Management of split cord malformation in children: the Lyon experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2018Article
- Incidence and type of foot deformities in patients with spina bifida according to level of lesion.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2016Article
- Composite split cord malformation associated with a dermal sinus tract, dermoid cyst, and epidural abscess: A case report and review of literature.Surgical neurology international · 2016Article
- Cutting filum terminale is very important in split cord malformation cases to achieve total release.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015Article
- Split cord malformation type I distal to segmental myelomeningocele.Saudi medical journal · 2014Article
- Split cord malformation associated with spinal open neural tube defect.Saudi medical journal · 2014Article
- Type 1 Diastematomyelia Presenting in Adulthood: A Case Report of an Atypical Presentation.Case reports in neurologyArticle
- Split Cord Malformation Type 2 with Double Dorsal Lipoma: A Sequela or a Chance.Journal of pediatric neurosciencesArticle
- Split notochord syndrome: a case in point.Radiologia brasileiraArticle
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1 author at 1 institution in 1 country.
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Abstract
purposeA personal series of 131 patients with split cord malformation (SCM) operated on is presented.
methodsAge, gender, symptoms and signs, radiological and operative findings, complications, associated anomalies, outcome, and pathological specimens were analyzed.
resultsThere were 88 girls (73 %) and 43 boys (27 %). The female predominance was slightly more remarkable in type I SCMs than in type II SCMs. The presenting symptoms can be summarized as skin lesions, spina bifida aperta, scoliosis or kyphoscoliosis, sphincter disturbance, foot deformities and weakness, and/or atrophy in the lower extremities. The ages of patients with neurological deficits and orthopedic deformities were significantly older than those without deficits (P = 0.030). The duration of symptoms was longer in the patients with neurological deficits and orthopedic deformities than that in those without deficits (P = 0.00095). In six patients, composite SCMs were present. Only one patient with a type II SCM did not have an associated spinal cord lesion. A type I SCM was more frequently encountered in patients with spina bifida (P < 0.0005). Transient postoperative complications were seen in 29 patients (22 %). There was no permanent complication. Retethered cord syndrome developed in five patients with a type I SCM.
conclusionsThe risk of neurological and orthopedic deficits increases with the age of the patient. The risk of permanent deficit after surgery is very low. The whole spine must be examined for additional lesions. All patients should be surgically treated when diagnosed, especially before the development of orthopedic and neurological manifestations, and all associated lesions should also be treated at the same session.
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