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Polymalformative syndrome characterized by the association of congenital blepharoptosis of the eyelid and lumbosacral vertebral fusion.

Posterior Lumbosacral Vertebral Fusion-Blepharop-tosis Syndrome; Familial Posterior Lumbosacral Vertebral Fusion and Eyelid Ptosis Syndrome.

Autosomal dominant.

Based on clinical findings and radiologic findings of vertebral fusions, especially in the lumbosacral region.

Patients have eye and musculoskeletal involvement. They present with a congenital and bilateral ptosis and elevator palsy. Other clinical features consist of contractures at the hip and knee, Achilles tendon tightness, and fusion of the posterior elements of the lumbosacral spine.

Limited movement of the hips, knees, and lumbosacral region may complicate patient positioning and increase risk of nerve compression and skin damage. However, the main concern is that neuraxial regional anesthesia in the lumbar and lower thoracic region is not recommended because of the posterior fusion.

Faulk WP, Epstein CJ, Jones MD: Familial posterior lumbosacral vertebral fusion and eyelids ptosis. Am J Dis Child 119:510, 1970.  [PubMed: 5443339]

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