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Review Question - QID 6072

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QID 6072 (Type "6072" in App Search)
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?

Progressive paralysis

18%

82/463

Neck extension contracture

2%

10/463

Inability to sit without using the hands for support

67%

310/463

Progressive hip dislocation

9%

43/463

Sexual dysfunction

3%

15/463

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Without stabilization, progressive kyphosis will develop between the spine and pelvis. The kyphosis progresses to the point that the child must use his or her hands to support the trunk, and therefore is unable to use his or her hands for other activities. Neck extension contracture does not usually develop. Neurologic deficit, including sexual dysfunction, is generally present at birth and static.

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