Meningomyelocoele with pelvic obliquity
CHERRY KOVOOR
Dear Friends
Looking forward for your opinion
1 yr 7 months old female
Case of meningomyelocele operated 3rd month in a medical college-meningomyelocele closure
Has reduced vision Lensectomy done
Has Left hip paralytic dislocation-referred to me
Had L CTEV which he has corrected by serial casting in the previous institution
L ankle-Dorsi Flexion to neutral
L hip abduction reduced
Active knee extension present bilateral but ? reduced power left
Spine -spinous process not felt below L3
x-ray- LEFT hip dislocated- pelvic obliquity, spine -Absent pedicles and laminae L4-L5
I feel the scoliosis is likely to progress with that the pelvic obliquity. Should it be referred to spine surgeon. Also can or should anything be done for the hip dislocation AFTER pelvic obliquity correction?
Attaching X-rays and MRI
Regards
DR C CHERIYAN KOVOOR
KOCHI
