COMPLEX DYSRAPHIC STATE: COEXISTENCE OF MYELOMENINGOCELE, HYDROCEPHALUS, CHIARI II MALFORMATION, SPLIT CORD MALFORMATION, SCOLIOSIS AND SYRINGOMYELIA. AT LEAST THREE POINTS OF SPINAL TETHERING
Spinal dysraphism can have a wide spectrum of manifestations, which can appear either in isolation or in combinations of variable expression
Combination of various forms can produce multiple sites of spinal cord tethering and can cause difficulties in surgical management