AI Article Synopsis
- The study aimed to evaluate the occurrence of spinal cord anomalies, particularly tethered spinal cord, in patients with anorectal malformations using spinal cord imaging methods.
- A total of 254 patients were analyzed, with 234 (92.1%) receiving spinal cord imaging, revealing that 22.2% had a spinal cord anomaly.
- The findings suggest that screening for spinal cord anomalies is essential for all patients with anorectal malformations, regardless of their condition's complexity.
Article Abstract
Purpose: First, to assess the number of spinal cord anomalies (SCA), specifically tethered spinal cord (TSC) in patients with anorectal malformations (ARM), identified with spinal cord imaging (i.e. spinal cord US and/or MRI). Second, to report outcomes after TSC treatment.
Methods: A retrospective mono-center study was performed. All ARM patients born between January 2000 and December 2021 were included. Screening for SCA consisted of spinal cord US and/or MRI. Radiology reports were scored on presence of SCA. Data were presented with descriptive statistics.
Results: In total, 254 patients were eligible for inclusion, of whom 234 (92.1%) underwent spinal cord imaging. In total, 52 (22.2%) patients had a SCA, diagnosed with US (n = 20, 38.5%), MRI (n = 10, 19.2%), or both US and MRI (n = 22, 42.3%), of whom 12 (23.5%) with simple, 27 (52.7%) intermediate, and 12 (23.5%) complex ARM types. TSC was identified in 19 patients (8.1%), of whom 4 (21.1%) underwent uncomplicated neurosurgical intervention.
Conclusions: SCA were present in 22% of ARM patients both in simple, as well as more complex ARM types. TSC was present in 19 patients with SCA, of whom 4 underwent uncomplicated neurosurgical intervention. Therefore, screening for SCA seems to be important for all ARM patients, regardless of ARM type.
Level Of Evidence: Level III.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10025224 | PMC |
| http://dx.doi.org/10.1007/s00383-023-05440-y | DOI Listing |
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