An: 2019, Nr.4, Articol Nr. 2
COMPLETE SACRAL SPINA BIFIDA OCCULTA FORTUITOUSLY DISCOVERED IN A TRAUMA PATIENT
D.V. Crauciuc, D.A. Chiran, G. Statescu, M.C. Moraru, A.H. Nedelcu, C.I. Stan - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania, Faculty of Medicine, Department of Morphofunctional Sciences I
Irina Nedelcu - “Sf. Spiridon” Emergency County Hospital Iasi
COMPLETE SACRAL SPINA BIFIDA OCCULTA fortuitously DISCOVERED IN A TRAUMA PATIENT (Abstract): Sacral spina bifida occulta (SSBO) is a defect occurring during embryonic life when the neural tube develops. It consists of o complete lack of the posterior wall of the sacral canal, which anatomically is represented by the median sacral crest. This condition belongs to a larger group of pathologies named spina bifida, the latter comprising also the meningocele and the myelomeningocele. In this paper we present a totally asymptomatic complete SSBO in a 47-year old patient with multiple traumas that arrived at “Sf Spiridon” Emergency County Hospital in Iasi, Romania. He experienced an accidental fall from approximately 1.5 - 2.0 metres and we managed to discover his sacral defect during the CT scans he underwent in the Radiology Department. We present the axial and the reconstructed CT images and discuss the anatomy of the sacrum in both complete and incomplete SSBO, pointing towards possible complications that might arise in case of injury at this level. We have reviewed the related literature on PubMed discovering the controversies amongst classification and the methodological approach of this condition. Several data is presented comparatively and an emphasis is done on the prevalence of this rare finding in several anthropological studies, based on archaeological sites from abroad and even located in our city, Iasi.
Key words: NEURAL TUBE DEFECT, SACRAL CANAL, MEDIAN SACRAL CREST, MENINGES, ASYMPTOMATIC SACRAL SPINA BIFIDAFull text