Expert's comment concerning Grand Rounds case entitled 'Staged corrective surgery for complex congenital scoliosis and split cord malformation' (by Muhammad Asad Qureshi, Ambreen Asad, Ibrahim Farooq Pasha, Arslan Sharif Malik, Vincent Arlet).

摘要

The authors have presented the surgical management of a case of a 12-year-old girl with the diagnosis of congenital scoliosis associated with split cord malformation type II. Although the presented radiological images have not shown clearly that it was a type II split cord malformation (fibrous septum with diplomyelia and separate or same dural layers). I totally agree that in split cord malformation type II with normal neurological findings and the spinal cord ending at a normal level, the corrective surgery can be achieved safely without any neurosurgical procedure when the surgery is performed under spinal cord neuromonitor-ing. The literature supports this common opinion [1,9, 10]. But, without using neuromonitoring, this surgical strategy would be too risky.