Vertebral column and spinal cord malformation in children with exstrophy of the cloaca, with emphasis on their functional correlates
| Autor: | Helen Matthews, John F. McLaughlin, Kelly Weaver, Soheil Chegini, David B. Shurtleff, Howard A. King |
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| Rok vydání: | 1997 |
| Předmět: |
Embryology
medicine.medical_specialty business.industry Health Toxicology and Mutagenesis Anatomy Toxicology medicine.disease Cloacal exstrophy Spinal cord Lipomeningocele Surgery Vertebra Central nervous system disease medicine.anatomical_structure Vertebral fusion Cloaca (embryology) medicine business Vertebral column Developmental Biology |
| Zdroj: | Teratology. 55:241-248 |
| ISSN: | 1096-9926 0040-3709 |
| DOI: | 10.1002/(sici)1096-9926(199704)55:4<241::aid-tera4>3.0.co;2-3 |
| Popis: | Exstrophy of the cloaca is a dramatic malformation whose embryology is poorly understood. While the management of this disorder has received significant attention in the urology and general surgery literature, the neurologic status of these children has been poorly addressed. In order to better characterize the spinal cord and vertebral column malformations found in children with exstrophy of the cloaca, we undertook a clinical review of 26 consecutive children with exstrophy of the cloaca who had been seen at a single institution over 28 years. The prevalence of vertebral malformations in the 25 children who could be evaluated was 25/25 (100%). Twenty (80%) of the children had at least one vertebral fusion, most frequently at T-7. Twenty-two (88%) of the children had at least one vertebra with deficient posterior elements, and the spinal levels most frequently involved were S-2, S-3, S-4, and S-5. Nine (36%) of the children had at least one vertebra with a narrowed interpedicular distance, most frequently at T-7. Nine (36%) of the children had at least one vertebra with atrophic facet anatomy, most frequently at L-3. The prevalence of myelodysplasia in the 19 children for whom spinal magnetic resonance imaging or intraoperative findings were available was 100%. Of these 19 children, 15 (79%) had myelocystocele, 2 (11%) had a lipomeningocele, 2 (11%) had a meningocele, 2 (11%) had hydromyelia, and 4 (21%) had a tethered cord. These data suggest that spinal cord and vertebral column malformations are very common in children with exstrophy of the cloaca. Teratology 55:241-248, 1997. © 1997 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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