PMC9476243_01
(A) Hip abduction and irreducible knee flexion attitude. (B) Caudal skin dimple. (C) Medial dorsal lumbar bone protrusion.
10.1177_2333794X221118162-fig1.jpg
PMC9476243_01_10.1177_2333794X221118162-fig1.jpg
fig1-2333794X221118162
While the clinical examination showed a deformation Manuscript (without Author Details) Click here to view linked References of the caudal part of the spine (Figure 1), there was also a caudal skin dimple and a medial dorsal lumbar bony protrusion.
Standard radiographs of profile (A, B) and front (C): absence of visualization of the last lumbar vertebrae and sacro-coccyx, consolidated fracture of the left femur.
10.1177_2333794X221118162-fig2.jpg
PMC9476243_01_10.1177_2333794X221118162-fig2.jpg
fig2-2333794X221118162
Standard radiographs of the pelvis, lower limbs (A, B) and dorsolumbosacral spine in profile (C) (Figure 2), showed, in addition to agenesis of the last lumbar vertebrae and sacro-coccyx, a consolidated fracture of the left femur, a shrunken pelvis, shortened femurs, and abduction of the thighs with knee flexion.
Sagittal (A), coronal (B), and axial (C) sections STIR and T2: agenesis of the last three (3) lumbar vertebrae (L3, L4, and L5) and of the sacro coccyx with overlapping of the two (2) iliac wings; Squaring of the medullary cord in front of D11 extending at the posterior level by a tapered cord stopping at L2; no visceral abnormalities.
10.1177_2333794X221118162-fig3.jpg
PMC9476243_01_10.1177_2333794X221118162-fig3.jpg
fig3-2333794X221118162
Abdominal ultrasound and spinal cord MRI were also performed in order to search for other potentially associated lesions (Figure 3).