Acta Chir Orthop Traumatol Cech. 2023; 90(5):353-357 | DOI: 10.55095/achot2023/043

Monozygotic Twins with Legg-Calvé-Perthes Disease and with Non-Identical Lumbosacral Malformation: a Case Report and Literature ReviewCase report

M. HRUBÁ1, P. BÁRTA2, V. D®UPA3, M. KRBEC3
1 Department of Trauma and Plastic Surgery, Hospital České Budějovice, Czech Republic
2 Department of Surgery, Hospital České Budějovice, Czech Republic
3 Department of Orthopaedics and Traumatology, Third Faculty of Medicine, Charles University, and University Hospital Královské Vinohrady, Prague, Czech Republic

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 first 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 significantly 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 fifth 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 influencing the prognosis, however the morphological difference in the transitional vertebrae in these monozygotic twins was significantly.

Keywords: lumbosacral transitional vertebra, lumbosacral junction formation, sacralization of lumbar vertebra, megatransverse of vertebra L5.

Published: November 11, 2023  Show citation

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HRUBÁ M, BÁRTA P, D®UPA V, KRBEC M. Monozygotic Twins with Legg-Calvé-Perthes Disease and with Non-Identical Lumbosacral Malformation: a Case Report and Literature Review. Acta Chir Orthop Traumatol Cech. 2023;90(5):353-357. doi: 10.55095/achot2023/043. PubMed PMID: 37898500.
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