3.3 of 15 Ratings
A full-term newborn has webbing at the knees, rigid clubfeet, a Buddha-like posture of the lower extremities, and no voluntary or involuntary muscle action at and below the knees. Radiographs of the spine and pelvis reveal an absence of the lumbar spine and sacrum. What maternal condition is associated with this diagnosis?
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A 2-year-old boy has complete absence of the sacrum and lower lumbar spine. What is the most likely long-term outcome if no spinal pelvic stabilization is performed?
Neck extension contracture
Inability to sit without using the hands for support
Progressive hip dislocation
During a medical mission to Guatemala, a 6-year-old child is brought to clinic for his first orthopaedic evaluation. His mother reports that he required major colorectal surgery shortly after birth and was never able to walk. He in unable to sit unsupported without using his hands to stabilize himself. He is otherwise cognitively normal and has excellent upper extremity strength. Radiographs of his pelvis are are shown in Figures A and B. Which of the following is accurate regarding his condition:
Motor deficits correlate with the vertebral level affected, but sensory deficits do not
Neurologic deficits are static, but musculoskeletal manifestations are progressive
Protective sensation is often absent, increasing the risk for decubitus ulcers
The goal of spinopelvic fusion is to promote ambulation
There is an association with maternal diabetes and folate deficiency