{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:51:37Z","timestamp":1787017897128,"version":"build-2736575974"},"reference-count":13,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Neurosurg"],"published-print":{"date-parts":[[2011]]},"abstract":"<i>Objective and Importance:<\/i> Two-level bony spurs are rare and also a very long segment of bony spur is very rare. Bony spur with a single dural covering is not reported in the literature. Here, we report a case of prophylactic surgery performed on a patient with a bony spur with a single dural covering who showed a good postoperative outcome. This case highlights the importance of prophylactic surgery in such patients to avoid cord injuries. <i>Clinical Presentation:<\/i> Since birth a 1-year-old child had had a tuft of hair at the dorsal (D<sub>6<\/sub> and D<sub>7<\/sub>) region. The patient was examined and found to have scoliosis with convexity towards the right. There was no neurological deficit. MRI and CT spine scans showed 2-level type 1 split cord malformation (SCM) and there was a low-lying conus at the L<sub>3\u20134<\/sub> level. <i>Intervention:<\/i> The patient was operated on at the age of 1 year and 2 separate bony septae were observed. The upper one extended from D<sub>5<\/sub> to D<sub>9<\/sub> and the lower one was at the D<sub>11<\/sub> level. The bony spurs were excised. The filum was sectioned at the L<sub>4\u20135<\/sub> level by a separate incision. The patient had a good postoperative recovery. <i>Conclusion:<\/i> With meticulous planning and careful surgery, prophylactic surgery can have a very good outcome in long-segment and two-level type 1 SCM.<\/jats:p>","DOI":"10.1159\/000334278","type":"journal-article","created":{"date-parts":[[2011,12,29]],"date-time":"2011-12-29T05:49:17Z","timestamp":1325137757000},"page":"227-229","source":"Crossref","is-referenced-by-count":13,"title":["Long-Segment Type 1 Split Cord Malformation with Two-Level Split Cord Malformation and a Single Dural Sac at the Lower Split"],"prefix":"10.1159","volume":"47","author":[{"given":"Pankaj Kumar","family":"Singh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh","family":"Khandelwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajit","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pankaj","family":"Ailawadhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.K.","family":"Mahapatra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2011,12,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1227%2F00006123-199209000-00011"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1227%2F00006123-199209000-00010"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00310083"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1136%2Fadc.35.179.76"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159%2F000120536"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.3171%2Fspi.2002.97.2.0231"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3171%2Fjns.1998.88.1.0057"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1159%2F000120535"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159%2F000120369"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159%2F000121033"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007%2Fs003810100482"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00381-002-0615-y"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1159%2F000095563"}],"container-title":["Pediatric Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/334278","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/334278","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T14:46:30Z","timestamp":1745419590000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000334278"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2012,1,1]]},"published-print":{"date-parts":[[2012,1,31]]}},"URL":"https:\/\/doi.org\/10.1159\/000334278","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.5123038","asserted-by":"subject"}]},"ISSN":["1016-2291","1423-0305"],"issn-type":[{"value":"1016-2291","type":"print"},{"value":"1423-0305","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}