# Spondylocostal dysostosis with split cord malformation in a resource-limited setting: A case report

## TL;DR

A rare case of a newborn with a severe bone and spine disorder causing breathing problems is reported, highlighting challenges in treatment in resource-limited areas.

## Contribution

This case report adds to the limited literature on SCD with SCM in low-resource settings and emphasizes the importance of early diagnosis and tailored care.

## Key findings

- The neonate had multiple rib agenesis, vertebral defects, and split cord malformation.
- Conservative management was chosen due to socioeconomic and accessibility barriers.
- Early diagnosis and comprehensive imaging are critical for managing SCD with SCM.

## Abstract

Spondylocostal dysostosis (SCD) is a rare congenital disorder marked by severe vertebral and rib malformations, often resulting in thoracic insufficiency and respiratory issues. This report presents an 11-day-old neonate with persistent respiratory distress and chest wall deformities, found to have multiple rib agenesis, vertebral segmentation defects, and an associated split cord malformation (SCM). Although early surgical intervention can improve outcomes, the family chose conservative management due to accessibility and socioeconomic factors. The case highlights the complexities of managing Spondylocostal dysostosis (SCD), particularly when complicated by split cord malformation (SCM), and emphasizes the need for early diagnosis, comprehensive imaging, and individualized treatment strategies to optimize prognosis.