GUO Dong,CAO Jun,ZHANG Xue-jun,et al.Congenital intraspinal anomalies associated with congenital vertebral malformations.[J].Journal of Clinical Pediatric Surgery,,9():0.
Congenital intraspinal anomalies associated with congenital vertebral malformations.
- Keywords:
- Spine/AB; Spinal canal; Nervous System
- Abstract:
- Objective To access the incidence of intraspinal anomalies in patients associated congenital vertebral malformations with different factor. Methods 610 patients with congenital vertebral malformations in Beijing Children's Hospital during 2003 ~ 2009 were documented. All patients had CT scan, MRI, abdominal ultrasound, echocardiography and clinical assessments. Results The incidence of intraspinal anomalies was 33.0% (201 / 610). There was no association between intraspinal anomalies and the place of birth, maternal age, level of spinal curvature, or the type or side of spinal anomalies. But the intraspinal anomalies incidence of mixed type is higher than non-mixed type In Winter's Classification(P = 0.009). Conclusions The incidence of congenital intraspinal anomalies in congenital vertebral malformations was obviously higher than which in normal people. Special attention of whether intraspinal anomalies exists should be paid in patient with congenital vertebral maformations and we recommend MRI and CT for congenial vertebral maformations
References:
1 McMaster MJ.Occult intraspinal anomalies and congenital scoliosis[J].J Bone Joint Surg Am,1984, 66:588-601.
2 Dias MS,Li V,Landi M,et al.The Embryogenesis of congenital vertebral dislocation: early embryonic buckling? [J].Pediatr Neurosurg,1998,29(6):281-289.
3 Kevin KM,Spivak JM,Bendo JA.Embrylology of the spine and associated congenital abnormalities[J].Spine J,2005,5(5):564-576.
4 Basu PS,Elsebaie H,Noordeen MH.Congenital spinal deformity:a comprehensive assessment at presentation [J].Spine,2002,27(20):2255-2259.
5 Bradford DS,Heithoff KB,Cohen M.Intraspinal anomalies and congenital scoliosis: a radiographic and MRI study[J].J Pediatr Orthop,1991,11:36–41.
6 Mohammad Ali Erfani,Mohammad Saleh Ganjavian,Occult intraspinal abnormalities and congenital scoliosis[J]. Journal of Research in Medical Sciences,2007,12(2): 53-57.
7 马兆龙,邱勇,王斌,等.先天性脊柱侧凸患者中的脊髓畸形和脊椎畸形[J].中国脊柱脊髓杂志,2007,17(8):588-592.
8 原所茂,邱贵兴,魏斌,等.先天性脊柱侧凸患者脊椎畸形及椎管内畸形的特点[J].中国脊柱脊髓杂志,2008,18(11) 811-814.
9 Yusuf Izci, Muzeyyen Gonul,Engin Gonul.The diagnostic value of skin lesions in split cord malformations[J].J of Clinical Neuroscience,2007,14:860-863.
Memo
首都医科大学附属北京儿童医院骨科专业组(100045),通讯作者:张学军,E-mail:zhang-x-j04@163.com