Multiple split cord malformation with dysplasia of the hip joints: A rare association or part of a sydromic presentation

Abstract

Abstract Background: Multiple level split cord malformations (SCMs) with associated skeletal abnormality are rare. Here we discuss a 3-year-old male child with double-level SCM type 1 and developmental dysplasia of the hip joints. Case: A 3-year-old male child presented with chronic constipation since birth with urinary incontinence. There was gait abnormality and he could not able stand without support. Radiology showed SCM type 1 at the level of D9-11 and L4. X-ray showed left dysplastic hip joints. Surgically both the bony spurs were resected and dural sac was repaired along with detethering of the low-lying filum. Orthopedic intervention was done after 3 months. At 18-month follow-up the child has improved bowel and bladder symptoms and could able to walk independently. Conclusion: Though rare, skeletal abnormalities like dysplastic hip joints may be associated with SCM. Early diagnosis and management of both conditions have better outcomes.