Ayurvedic Management of Congenital Anomaly Butterfly Vertebra (Hemivertebra): A Rare Case Study

A sagittal defect in vertebral body due to non-fusion of two lateral chondrification centres at the time of embryogenesis leads to butterfly vertebra. It is an uncommon congenital deformity and often benign but forms disability throughout life such as disc herniation and may alter the normal anatomy and physiology of body. A primi gravidaaged 27 years came to OPD at Aaddya Ayurvedic Clinic with the obstetric ultrasound examination reports revealing segmentation deformity in lower 2-3 thoracic vertebra and intracardiac focus in left ventricle. Ayurvedic treatment was given to patient with respect to butterfly vertebra (Garbhashay astha asthi vikruti) along with conventional anti natal care (ANC) protocol, which was successfully managed to reduce deformities within 6 weeks; and baby was born structurally and functionally normal with no evidence of earlier deformities. Patient came at 21 week and 1 day of ANC and treated with Asthimajjapachaka, Tapyadilohavati and Suvarna malini vasant rasa for 3 months 19 days. From 04 /06/2022 to 25/09/2022 Obstetric ultrasound was repeated at 28th week of gestation which revealed deformity in single thoracic vertebra and no evidence of intracardiac focus. USG was repeated after the birth at 1 month and 6 days which showed the normal neonatal spine.