[3 case reports of lumbosacral agenesis; role of the lumbo-iliac bone graft].
From 3 cases (8,2 and 16 years) the two first patients have been followed since birth, and in reviewing the 124 cases published in the literature, the authors analyze: the possible causes with in first the mother's diabetes, the possibility of antenatal diagnosis with ultrasound, the clinical symptoms: paraplegia with stiff joints and deformities of lower limbs, finally the therapeutic possibilities to correct the deformities of lower limbs and find the compromise between straighten the patient to authorize the possible standing and keep mobility between trunk and pelvis to allow sitting. In this case, the lumbo-iliac bone graft can be used if necessary and if the mobility of the hips make that possible. This bone graft was realized once in January 1979 (follow up 5 1/2 years). All the references are in Dr Barnetche's thesis (Bordeaux 1984, n degrees 135).
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000534:rehabilitation; D005260:Female; D006801:Humans; D008124:Locomotion; D008159:Lumbar Vertebrae / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008297:Male; D010264:Paraplegia / Q000209:etiology* / Q000534:rehabilitation; D011859:Radiography; D012447:Sacrum / Q000002:abnormalities* / Q000000981:diagnostic imaging
A propos de 3 observations d'agénésie lombosacrée, place de la greffe lombo-iliaque.