Spine duplication or split notochord syndrome – case report and literature review

Spine duplication, also known as split notochord syndrome, is a rare condition involving abnormalities in the spine, sometimes accompanied by other defects. This study presents the case of a boy with this syndrome, followed from birth to adulthood, describing his medical journey and outcomes. The patient had multiple congenital defects, including abdominal wall and cloacal issues, along with spine abnormalities. He underwent several surgeries and rehabilitation to address these issues, with a focus on enabling him to walk. Despite the severity of his condition, the patient was able to walk independently with a prosthesis by the age of 18. This case highlights that even with significant spine duplication and associated issues, a reasonable quality of life and mobility are possible.

• 1
  The patient presented with defects of the abdominal wall and cloacal exstrophy, a transposed anus, and split bony elements of the spine.
• 2
  Imaging revealed split vertebrae starting at L2, with two vertebrae and spinal canals at each level downward from L3. The spinal cord divided into two 'semicords' at L1.
• 3
  Despite long duplication and double sacrum, walking was a feasible option with prosthesis.