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Sacral and Lumbo-Sacral Agenesis

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The Pediatric Spine II

Part of the book series: Principles of Pediatric Neurosurgery ((PRINCPEDIATR))

Abstract

Sacral agenesis is a rare condition consisting of partial or complete absence of the sacrum. With minimum orthopedic interventions, almost all of the patients with sacral agenesis become community walkers, usually without aid. Lumbo-sacral agenesis is a somewhat rarer condition consisting of absence of part or all of the lumbar spine and sacrum, with ilio-lumbar disassociation and instability; “arthogrypotic-like” deformity of the lower limb including hip dislocation, knee contracture, foot deformity; and paraplegia. Orthopedic management of such a patient can include amputation and use of prostheses. Anomalies of the viscera, particularly in the genito-urinary system and in the rectal area, are often seen in these two conditions. Bladder or external sphincter dysfunction with vesico-ureteral reflux are commonly present. Bladder and bowel control are often impaired.

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Authors
  1. Gérard Bollini
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Editors and Affiliations

  1. 37020, Gargagnago (Verona), Italy

    Anthony J. Raimondi M.D.

  2. Hôpital des Enfants de la Timone, Rue Saint Pierre, 13005, Marseille, France

    Maurice Choux M.D.

  3. Istituto di Neurochirurgia, Università Cattolica del Sacro Cuore, Largo Gemelli 8, 00168, Rome, Italy

    Concezio Di Rocco M.D.

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Bollini, G. (1989). Sacral and Lumbo-Sacral Agenesis. In: Raimondi, A.J., Choux, M., Di Rocco, C. (eds) The Pediatric Spine II. Principles of Pediatric Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8829-6_7

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  • DOI: https://doi.org/10.1007/978-1-4613-8829-6_7

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8831-9

  • Online ISBN: 978-1-4613-8829-6

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