Sprengel's deformity and spinal dysraphism: connecting the shoulder and the spine

Childs Nerv Syst. 2013 Jul;29(7):1051-8. doi: 10.1007/s00381-013-2057-0.

Abstract

Background and purpose: Sprengel's deformity, a rare congenital malformation of the scapula, may be observed in combination with spinal dysraphism. The co-occurrence of these malformations suggests an unknown shared etiology. Therefore, we reviewed the medical records of eight children presenting with both malformations and performed a review of the literature.

Patients and methods: Databases from four university medical centers were searched for children presenting between 1992 and 2012 with spinal dysraphism and a Sprengel's deformity.

Conclusion: The combination of spinal dysraphism and Sprengel's deformity is rare, and is associated with segmentation defects of the spine and ribs. Although the etiology of both spinal dysraphism and Sprengel's deformity remains unclear, all deformities of the spine, ribs, and shoulder might result from a common genetic defect affecting somitogenesis.

Keywords: Embryology; Genetics; Jarcho–Levin syndrome; Spina bifida; Spinal dysraphism; Spondylocostal dysostosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple / diagnosis*
  • Abnormalities, Multiple / embryology
  • Child
  • Child, Preschool
  • Clubfoot
  • Congenital Abnormalities / diagnosis*
  • Congenital Abnormalities / embryology
  • Female
  • Hemangioma
  • Humans
  • Infant
  • Infant, Newborn
  • Magnetic Resonance Imaging
  • Male
  • Meningomyelocele
  • Netherlands
  • Scapula / abnormalities*
  • Scapula / embryology
  • Shoulder / embryology
  • Shoulder Joint / abnormalities*
  • Shoulder Joint / embryology
  • Skin Neoplasms
  • Spinal Dysraphism / diagnosis*
  • Spinal Dysraphism / embryology
  • Spine / embryology
  • Syringomyelia
  • Tomography, X-Ray Computed

Supplementary concepts

  • Sprengel deformity