Malformations of the internal organs and systems in children with asymptomatic spinal dysraphism

Cover Page

Abstract

The purpose of research is to determine the prevalence of associated malformations in children with latent forms of spinal dysraphism.

Materials and methods.

The study involved 64 patients aged from 9 months to 17 years old. Clinical and radiological examination including MRI scan of spine and spinal canal were performed to evaluate the orthopaedic and neurological status of the patients.

Results.

Malformations of the spine were observed in 100 % of children, associated malformations of the organs and systems are found in 33 (52 %) patients. Herewith the malformations of the genitourinary system were revealed - in 52 % of patients, the musculoskeletal system - in 45 % of children, the cardiovascular system - in 39 %, the digestive system - 12 %, otolaryngology - 9 % and bronchopulmonary system - in 3 % of patients.

Conclusion.

Pediatric patients with latent forms of spinal dysraphism require detailed examination both on the part of the spine and the spinal canal and the internal organs and systems. The most prevalent malformations included those of genitourinary, musculoskeletal (appendicular skeleton) and cardiovascular systems.

About the authors

Sergei Valentinovich Vissarionov

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation; North-Western State Medical University n. a. I. I. Mechnikov, Saint-Petersburg

Author for correspondence.
Email: turner01@mail.ru
MD, PhD, professor, Deputy Director for Research and Academic Affairs, head of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics. Professor of the chair pediatric traumatology and orthopedics. North-Western State Medical University n. a. I. I. Mechnikov Russian Federation

Dmitriy Nikolaevich Kokushin

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: turner01@mail.ru
MD, research associate of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation

Timur Bagaudinovich Bogatyrev

The Turner Institute for Children’s Orthopedics, Saint-Petersburg

Email: turner01@mail.ru
MD, PhD student of the department of spinal pathology and neurosurgery. The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation

References

  1. Коновалов А.Н., Корниенко В.Н., Озерова В.Н., Пронин И.Н. Нейрорентгенология детского возраста. – М.: Антидор; 2001. - 435 с. [Konovalov AN, Kornienko VN, Ozerova VN, Pronin IN. Neyrorentgenologiya detskogo vozrasta. Moscow: Antidor; 2001. 435 p.]
  2. Tortori-Donati P, Rossi A, Biancheri R. Pediatric Neuroradiology. Berlin: Springer, 2005;1551-1608.
  3. Mankahla N, Figaji A. Occult spinal dysraphisms. S Afr Med О. 2014;104(4):316.
  4. McMaster MJ. Occult intraspinal anomalies and congenital scoliosis. J Bone Joint Surg Am. 1984;66:588-601.
  5. Bradford D, Heithoff KB, Cohen M. Intraspinal abnormalities and congenital spine deformities: a radiographic and MRI study. J Paediatr Orthop. 1991;11:36-41.
  6. Suh SW, Sarwark JF, Vora A, Huang BK. Evaluating congenital spine deformities for intraspinal anomalies with magnetic resonance imaging. J Pediatr Orthop. 2001;21:525-531.
  7. Shen J, Wang Z, Liu J, et al. Abnormalities associated with congenital scoliosis: a retrospective study of 226 Chinese surgical cases. Spine. 2013;38(10):814-8.
  8. Ульрих Э.В. Аномалии позвоночника у детей. СПб.: Сотис, 1995. - 335 с. [Ulrikh EV. Anomalii pozvonochnika u detei. Saint-Petersburg: Sotis, 1995. 335 р.]
  9. Beals R, Robbins J, Rolfe B. Anomalies associated with vertebral malformations. Spine. 1993;18:1329-1332.
  10. Казарян И.В., Виссарионов С.В. Сочетание врожденных деформаций позвоночника у детей с аномалиями других органов и систем. // Российский вестник перинатологии и педиатрии. – 2012. – Т. 57. – № 5. - С. 72-76. [Kazaryan IV, Vissarionov SV. Childhood congenital spinal deformities concurrent with anomalies in other organs and organ systems. Rossiyskiy Vestnik Perinatologii i Pediatrii. 2012;57(5):72-76. (In Russ).]
  11. Виссарионов С.В., Крутелев Н.А., Снищук В.П. Диагностика и лечение детей с диастематомиелией. // Хирургия позвоночника. – 2010. – № 4. - С. 41-47. [Vissarionov SV, Krutelev NA, Snishchuk VP. Diagnosis and Treatment of Diastematomyelia in Children. Spine Surgery. 2010;4:41-47. (In Russ).]
  12. Bollini G, Launay F, Docquier PL, et al. Congenital abnormalities associated with hemivertebrae in relation to hemivertebrae location. J Pediatr Orthop B. 2010;19:90-94.

Statistics

Views

Abstract: 716

PDF (Russian): 462

PDF (English): 270

Dimensions

Article Metrics

Metrics Loading ...

PlumX


Copyright (c) 2015 Vissarionov S.V., Kokushin D.N., Bogatyrev T.B.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies