ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2018
Management of split cord malformation in children: the Lyon experience.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- From Gastrulation to Malformation: Understanding the Embryology of Split Cord Malformations for Obstetric Practice.Fetal diagnosis and therapy · 2026Review
- 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
- Results of Surgical Treatment of Occult Spinal Dysraphisms-A Single Centre Experience.Diagnostics (Basel, Switzerland) · 2024Article
- An Unusual Case of Torticollis: Split Cord Malformation with Vertebral Fusion Anomaly: A Case Report and a Review of the Literature.Children (Basel, Switzerland) · 2022Article
- Treatment of spinal deformity with diastematomyelia type I: one-stage, two-stage surgery and new technique (vertebral column resection through wide bony septum).Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022Review
Corrections and comments
- Erratum issuedCorrection to: Management of split cordmalformation in children: the Lyon experience.2018 · Pierre-Aurelien, Beuriat [corrected to Beuriat, Pierre-Aurélien]; Federico, Di Rocco [corrected to Di Rocco, Federico]; Alexandru, Szathmari [corrected to Szathmari, Alexandru]; Carmine, Mottolese [corrected to Mottolese, Carmine]
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSplit cord malformation (SCM) is a rare congenital spinal abnormality. Clinical presentation varies. Other congenital defects can be associated. Management is surgical. MATERIAL AND
methodsWe retrospectively reviewed all our SCM cases and reported our experience for its management. From 1990 to 2014, 37 patients were operated. Five situations lead to the diagnosis (orthopedic disorders (n = 8), orthopedic and neurological disorders (n = 16), pure neurological disorders (n = 5), no symptoms except cutaneous signs (n = 7), antenatal diagnosis (n = 1)). Scoliosis was the most common associated condition. The level of the spur was always under T7 except in one case. There were more type I (n = 22) than type II (n = 15) SCM.
resultsPatients with preoperative neurological symptoms (n = 21) were improved in 71.4%. Five out of nine patients that had preoperative bladder dysfunction were improved. Eleven patients needed surgical correction of the scoliosis.
conclusionsFor us, the surgical procedure is mandatory even in case of asymptomatic discovery in order to avoid late clinical deterioration. In any case, the filum terminale need to be cut in order to untether completely the spinal cord. In case a surgical correction of a spinal deformity is needed, we recommend a two-stage surgery, for both SCM type. The SCM surgery can stop the evolution of the scoliosis and it may just need an orthopedic treatment with a brace.
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