TY - JOUR
T1 - Spinal cord anomalies in children with anorectal malformations
T2 - a retrospective cohort study
AU - de Beaufort, Cunera M. C.
AU - Groenveld, Julia C.
AU - Mackay, Tara M.
AU - Slot, K. Mariam
AU - de Beer, Sjoerd A.
AU - de Jong, Justin R.
AU - van Schuppen, Joost
AU - McDonald, Carola J.
AU - Bakker, Dewi P.
AU - van den Berg, Elske
AU - Kuijper, Caroline F.
AU - Gorter, Ramon R.
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12/1
Y1 - 2023/12/1
N2 - 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.
AB - 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.
KW - Anorectal malformations
KW - Children
KW - Spinal cord anomalies
KW - Tethered spinal cord
KW - Untethering surgery
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85150666477&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/36934393
U2 - 10.1007/s00383-023-05440-y
DO - 10.1007/s00383-023-05440-y
M3 - Article
C2 - 36934393
SN - 0179-0358
VL - 39
JO - Pediatric Surgery International
JF - Pediatric Surgery International
IS - 1
M1 - 153
ER -