A Lipomyelomeningocele with Tethered Cord Syndrome Associated with Scoliosis and Clubfoot

Abstract

Background: A lipoma in limbosanal region can be associated with myelomeningocele with tethered cord. Tethered cord means abnormally low conus medullaris with abnormally thick filum terminale attached to lower sacral region. Objective: The case was discussed because there is rare association between lipomy elomeningocele with tethering of cord, scolosis and clubfoot. The operation was done by 'S' shaped transverse incision crossing over the middle of the lump. Excision of lipoma was done. Neural placode was identified and dethering of cord and repair of sac was done. Results: The muscle power after surgery was improved. There was no bladder disturbance and gait was intact. Conclusion: There was rare association of many congenital anomalies. Early diagnosis and surgery prevent future cord infarction and scoliosis, due to undue traction of cord.