Scientific Article   |    
Lumbosacral Agenesis: A New Classification Correlating Spinal Deformity and Ambulatory Potential
James T. Guille, MD; Ricardo Benevides, MD; Carlos Cuevas DeAlba, MD; Vijay Siriram, MD; S. Jay Kumar, MD
View Disclosures and Other Information
Investigation performed at Alfred I. duPont Hospital for Children, Wilmington, Delaware
James T. Guille, MD
Ricardo Benevides, MD
Carlos Cuevas DeAlba, MD
Vijay Siriram, MD
S. Jay Kumar, MD
Department of Orthopaedics, Alfred I. duPont Hospital for Children, P.O. Box 269, Wilmington, DE 19899

No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

J Bone Joint Surg Am, 2002 Jan 01;84(1):32-38
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


Background: Lumbosacral agenesis is a rare congenital anomaly. There is no consensus regarding the optimal orthopaedic management of the spinal anomaly and the concomitant lower-extremity deformities. We propose a method to predict ambulatory potential and to identify patients who will benefit from early operative treatment of the lower-extremity deformities to facilitate walking.

Methods: We reviewed the records and radiographs of eighteen patients with total or partial absence of the lumbar spine and total absence of the sacrum. Thirteen patients (Group I) had lumbosacral agenesis alone, and five patients (Group II) had a concomitant myelomeningocele. Three types of spinal deformity were identified. In Type A, there was either a slight gap between the ilia or the ilia were fused in the midline. One or more lumbar vertebrae were absent. The caudad aspect of the spine articulated with the pelvis in the midline, maintaining its vertical alignment. In Type B, the ilia were fused together, some of the lumbar vertebrae were absent, and the most caudad lumbar vertebra articulated with one of the ilia, with the most caudad aspect of the spine shifted away from the midline. In Type C, there was a total agenesis of the lumbar spine, the ilia were fused together, and there was a visible gap between the most caudad intact thoracic vertebra and the pelvis.

Results: In Group I, all seven patients with Type-A deformity were community ambulators and one patient with Type-B was a household ambulator. No other patient in the series was able to walk. Nine patients had cervical spine anomalies, and seven patients had scoliosis. No patient was managed with a spinopelvic fusion.

Conclusions: We believe that all Group-I, Type-A patients should have correction of lower-extremity deformities as they have a very good potential to walk. The other patients should have operations on the lower extremities only if the deformities preclude sitting or wearing shoes or braces. The cervical spine should be examined radiographically for atlantoaxial instability or congenital anomalies.

Figures in this Article
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    New York - Icahn School of Medicine at Mount Sinai
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    W. Virginia - Charleston Area Medical Center
    District of Columbia (DC) - Children's National Medical Center