title: Spondylocostal dysostosis associated with right-sided polythelia, right-sided rib deformity and meningocoele: Case report with review of literature.
abstract: Spondylocostal dysostosis (SCD) is a rare anomaly of axial skeleton due to flawed embryological development. A newborn baby boy with right-sided polythelia, meningocoele, fan-like configuration of third and fourth rib, fused fifth and sixth rib and third thoracic hemivertebra was delivered to a second gravid mother by elective caesarean section. Baby was active, cried immediately after birth, had normal muscle tone and reflexes. He passed urine and meconium within 24 h of birth. Based on clinical examination and radiological picture, a diagnosis of SCD with meningocele with right-sided polythelia was made. Our case is the first SCD with polythelia and meningocele in newborn. SCD with right-sided polythelia and rib deformity with neural tube defect (NTD) may be due to a genetic defect with the culprit genes missing. Further genetic and embryological studies might find a link between right-sided rib defects, polythelia and NTD.
authors.affiliation: Department of Pediatrics, Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Narendra
authors.initials: N
authors.lastname: Rai
authors.affiliation: Department of Pediatrics, Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Neha
authors.initials: N
authors.lastname: Thakur
authors.affiliation: Department of Obstetrics and Gynaecology, Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Naheed Zin
authors.initials: NZ
authors.lastname: Khan
authors.affiliation: Department of Obstetrics and Gynaecology, Hind Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
authors.forename: Akhilesh Dutt
authors.initials: AD
authors.lastname: Dwivedi
keywords: Jarcho-Levin syndrome; polythelia; spondylocostal dysostosis