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Monozygotic twins with legg-calvé-perthes disease and with non-identical lumbosacral malformation: a case report and literature review [Jednovaječná dvojčata s morbus Legg-Calvé-Perthes a neidentickou lumbosakrální malformací: kazuistika a přehled literatury]
M. Hrubá, P. Bárta, V. Džupa, M. Krbec
Language English Country Czech Republic
Document type Review, Case Reports, Journal Article
PubMed
37898500
Knihovny.cz E-resources
- MeSH
- Lumbar Vertebrae diagnostic imaging MeSH
- Child MeSH
- Twins, Monozygotic MeSH
- Sacrum diagnostic imaging MeSH
- Humans MeSH
- Spinal Diseases * MeSH
- Legg-Calve-Perthes Disease * MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Review MeSH
The authors present the cases of monozygotic male twins with right-sided Legg-Calvé-Perthes disease (LCPD) with different formation of the lumbosacral junction. This is likely the fi rst description of a lumbosacral junction formation disorder associated with identical twins who were both treated for LCPD as children. The disease began at 6 and 9 years of age and during treatment as well as in adulthood signifi cantly different bone formation of the lumbosacral transitional vertebra, was observed in both brothers. Twin A has a unilateral right-sided fusion of the enlarged L5 transverse process with the ipsilateral sacral ala, twin B has a complete sacralization of the fi fth lumbar vertebra. The LCPD treatment outcomes in the twins were consistent with the results from large studies, i.e., age at the time of LCPD onset is the main factor infl uencing the prognosis, however the morphological difference in the transitional vertebrae in these monozygotic twins was signifi cantly. Key words: lumbosacral transitional vertebra, lumbosacral junction formation, sacralization of lumbar vertebra, megatransverse of vertebra L5.
Department of Surgery Hospital České Budějovice Czech Republic
Department of Trauma and Plastic Surgery Hospital České Budějovice Czech Republic
Jednovaječná dvojčata s morbus Legg-Calvé-Perthes a neidentickou lumbosakrální malformací: kazuistika a přehled literatury
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- $a The authors present the cases of monozygotic male twins with right-sided Legg-Calvé-Perthes disease (LCPD) with different formation of the lumbosacral junction. This is likely the fi rst description of a lumbosacral junction formation disorder associated with identical twins who were both treated for LCPD as children. The disease began at 6 and 9 years of age and during treatment as well as in adulthood signifi cantly different bone formation of the lumbosacral transitional vertebra, was observed in both brothers. Twin A has a unilateral right-sided fusion of the enlarged L5 transverse process with the ipsilateral sacral ala, twin B has a complete sacralization of the fi fth lumbar vertebra. The LCPD treatment outcomes in the twins were consistent with the results from large studies, i.e., age at the time of LCPD onset is the main factor infl uencing the prognosis, however the morphological difference in the transitional vertebrae in these monozygotic twins was signifi cantly. Key words: lumbosacral transitional vertebra, lumbosacral junction formation, sacralization of lumbar vertebra, megatransverse of vertebra L5.
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