title: Successful separation of the conjoined thecal sac with an epidermal cyst in pygopagus twins.
abstract: Pygopagus conjoined twins are very rare, and half of all pygopagus twins have other anomalies. This report describes the successful surgical separation of pygopagus twins who had a conjoined thecal sac and an epidermal cyst. Meticulous preoperative planning, development of a model simulator, multispecialty teamwork, and a staged surgery contributed to a successful outcome.
authors.affiliation: Department of Neurosurgery, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien 970, Taiwan, ROC.
authors.forename: Yu-Cheng
authors.initials: YC
authors.lastname: Chou
authors.forename: Hai-Chyi
authors.initials: HC
authors.lastname: Peng
authors.forename: Chia-Hsiang
authors.initials: CH
authors.lastname: Chu
authors.forename: Sheng-Tzung
authors.initials: ST
authors.lastname: Tsai
authors.forename: Joseph Chang Ming
authors.initials: JC
authors.lastname: Ling
authors.forename: Yung-Hsiang
authors.initials: YH
authors.lastname: Hsu
authors.forename: Shin-Yuan
authors.initials: SY
authors.lastname: Chen
authors.forename: Tomor
authors.initials: T
authors.lastname: Harnod
mesh_terms: D004814:Epidermal Cyst / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D012074:Remission Induction; D012447:Sacrum; D013118:Spinal Cord Diseases / Q000150:complications* / Q000601:surgery*; D014428:Twins, Conjoined / Q000601:surgery*