INTRODUCTION The term VACTERL is an acronym for an association of congenital malformations: including vertebral, anal, cardiac, tracheo-esophageal, renal and limb anomalies. VACTERL anomalies pose a formidable challenge to anesthesiologists. We describe the anesthetic management of a parturient with VACTERL association, who underwent neuraxial analgesia for labor and vaginal delivery. CASE RE...

Vertebral anomalies may also distort the normal regional or global spinal alignment and necessitate some therapeutic interventions. Hemiepiphysiodesis is a traditional procedure usually described for these young patients but in more severe cases some type of osteotomy seems to be necessary. In this technical note, we describe a 5-year-old boy with failed previous hemiepiphysiodesis surgery, who...

We report on an isolated chest-wall asymmetry with imaging findings of multiple vertebral and related rib defects in an Ivorian male newborn. He was born of a healthy and young couple without parental lineage, neither family malformative history nor teratogen exposure. This clinical presentation advocates Jarcho-Levin syndrome, a rare sporadic or familial disorder inherited as autosomal dominan...

Congenital anomalies are common in the vertebral column. Skeletal abnormalities at the cervical region may result in severe neck pain and sudden unexpected death. During the osteology demonstration of cervical vertebrae for the MBBS students, it was observed that one of axis vertebra is fused with the 3rd cervical hemivertebrae. Vertebral bodies, pedicle, lamina of C2 and C3 were fused on right...

Meilor, D. H., Richardson, J. E., and Douglas, D. M. (1973). Archives of Disease in Childhood, 48, 537. Goldenhar's syndrome: oculoauriculo-vertebral dysplasia. Three cases of Goldenhar's syndrome diagnosed over a 4-year period in the newborn nursery all showed epibulbar dermoids, auricular appendices, and vertebral anomalies which are considered to be the hallmarks of the syndrome. The infants...

Butterfly vertebra is a rare birth defect of the spine which generally asymptomatic. Fewer cases this are reported till now. Here we have case 2 year old female baby, who presented with bilateral lower limb weakness and an involuntary passage stools urine since birth. Magnetic Resonance Imaging (MRI) confirmed cause, showed presence syrinx in spinal cord extending from vertebral level T9-T11, b...