Butterfly Vertebra and other Congenital Vertebral Anomalies in a Child

Satish Kumar; Virendra Atam; Ajay Kumar; Shyam Chand Chaudhary; Satyendra Sonkar; Ambuj Yadav

Satish Kumar Assistant Professor, Department of Medicine, KGMU, Lucknow, U.P., India.
Virendra Atam Professor and Head, Department of Medicine, KGMU, Lucknow, U.P., India.
Ajay Kumar Associate Professor, Department of Medicine, KGMU, Lucknow, U.P., India.
Shyam Chand Chaudhary Professor, Department of Medicine, KGMU, Lucknow, U.P., India
Satyendra Sonkar Professor, Department of Medicine, KGMU, Lucknow, U.P., India
Ambuj Yadav Assistant Professor, Department of Medicine, KGMU, Lucknow, U.P., India

Keywords: Butterfly Vertebra, Congenital Defect, Spine, MRI, Spina Bifida Occulta

Abstract

Butterfly vertebra is a rare birth defect of the spine which is generally asymptomatic. Fewer cases of this defect are reported till now. Here we have reported a case of a 2 year old female baby, who presented with bilateral lower limb weakness and an involuntary passage of stools and urine since birth. Magnetic Resonance Imaging (MRI) confirmed the cause, which showed the presence of syrinx in the spinal cord extending from the vertebral level of T9-T11, butterfly vertebra at T11 level and spina bifida occulta. The neurological examination revealed decreased power in the bilateral lower limbs and bladder- bowel involvement.

How to cite this article:
Kumar S, Atam V, Kumar A, Chaudhary SC, Sonkar S, Yadav A. Butterfly Vertebra and other Congenital Vertebral Anomalies in a Child. J Adv Res Med. 2022; 9(2): 9-11.

DOI: https://doi.org/10.24321/2349.7181.202208

References

Delgado A, Mokri B, Miller GM. Butterfly vertebra. J Neuroimaging. 1996;6:56-8. [PubMed] [Google Scholar]

Zuo K, Asenjo JF, Colmegna I. Butterfly vertebra. Arthritis Rheum. 2013;65:196. [PubMed] [Google

Scholar]

Cho HL, Kim JS, Paeng SS, Lee SH. Butterfly vertebra with lumbar intervertebral disc herniation. J Neurosurg

Spine. 2011;5:567-70. [PubMed] [Google Scholar]

Stanley JK, Owen RO, Koff ST. Congenital sacral anomalies. The Journal of Bone and Joint Surgery.

British volume. 1979;61(4):401-9. [PubMed] [Google Scholar]

Fisher F, Vandemark RE. Sagittal cleft (butterfly) vertebra. J Bone Joint Surg Am. 1945;27:695-8.

[PubMed] [Google Scholar]

Sonel B, YalÃ§Ä±n P, Ã–ztÃ¼rk EA, BÃ¶kesoy I. Butterfly vertebra a case report. Clini Imaging. 2001;25(3):206-8.

[PubMed] [Google Scholar]

Kapetanakis S, Giovannopoulou E, Nastoulis E, Demetriou T. Butterfly vertebra. A case report and

a short review of the literature. Folia morphologica. 2016;75(1):117-21. [PubMed] [Google Scholar]

Kaplan KM, Spivak JM, Bendo JA. Embryology of the spine and associated congenital abnormalities. Spine

J. 2005;5:564-76. [PubMed] [Google Scholar]

Zuo K, AsenjoJF, Colmegna I. Butterfly vertebra. Arthritis Rheum. 2013;65:196. [PubMed] [Google Scholar]

Boulet C, Schiettecatte A, De Mey J, De Maeseneer M. Case report imaging findings in a â€œbutterflyâ€ vertebra.

Acta Neurol Belg. 2011;111:344-8. [PubMed] [Google Scholar]

Cui G, Watanable K, Ishii K, Toyama Y, Chiba K, Matsumoto M. Interpedicular graft using a titanium

mesh cage in a patient with lumbar scoliosis associated with congenital butterfly vertebra. J Neurosurg Spine.

;14:215-8. [PubMed] [Google Scholar]

Patra DP, Salunke P, Pramanick G. Butterfly C2 vertebra an unusual finding in a case of os odontoideum. Pediatr Neurosurg. 2013;49:320-3. [PubMed] [Google Scholar]

Secer M, Muradov JM, Dalgic A. Evaluation of congenital lumbosacral malformations and neurological findings in patients with low back pain. Turk Neurosurg. 2009;19:145-8. [PubMed] [Google Scholar]

Techy F, Bell GR. Laminectomy. Perioperative management of patients with rheumatic disease. Brian

F. Mandell ed. Springer, New York. 2013;297â€“302. [Google Scholar]