17 March 2026
: Case report 
Congenital Limb Duplication and Spinal Dysraphism: A Rare Case Report Highlighting Single-Stage Multidisciplinary Surgery and Life-Changing Outcome
Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care, Rare disease, Congenital defects / diseases, Rare coexistence of disease or pathology
Iman Dwi Winanto
ABCD 1*, Jefryan Sofyan ABCD 1, Tommy Mandagi BEF 1, Ricovially Davya Guci EF 1, Abdurrahman Mouza CD 2, Arya Tjipta Prananda CD 3
DOI: 10.12659/AJCR.951696
Am J Case Rep 2026; 27:e951696
Table 1 Summary of reported cases of limb duplication with spinal dysraphism.
| Characteristic | Number of cases | Percentage (%) |
|---|---|---|
| Female | 19 | 65.5% |
| Male | 10 | 34.5% |
| Lumbosacral | 10 | 34.5% |
| Sacral | 5 | 17.2% |
| Lumbar | 4 | 13.8% |
| Thoracolumbar | 3 | 10.3% |
| Other/unspecified | 7 | 24.1% |
| Associated dysraphism type | ||
| Lipomyelomeningocele | 10 | 34.5% |
| Spina bifida | 3 | 10.3% |
| Myelomeningocele/meningomyelocele | 4 | 13.8% |
| Meningocele/lipomeningocele | 4 | 13.8% |
| Lumbar segmental agenesis | 2 | 6.9% |
| Other single-case variants | 6 | 20.7% |
| Anorectal malformation | 5 | 17.2% |
| Congenital talipes equino varus | 4 | 13.8% |
| Limb weakness | 3 | 10.3% |
| Rudimentary genitalia | 2 | 6.9% |
| Umbilical hernia | 2 | 6.9% |
| Calcaneovalgus | 1 | 3.4% |