Ertl-Wagner B B, Reiser M F
Institut für Klinische Radiologie, Klinikum Grosshadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377 München.
Radiologe. 2001 Dec;41(12):1048-55. doi: 10.1007/s001170170004.
Congenital spinal malformations form a complex and heterogeneous group of disorders whose pathogenesis is best explained embryologically. Radiologically, it is important to formulate a diagnosis when the disorder first becomes symptomatic. However, it is also crucial to detect complications of the disorder or of the respective therapeutic interventions in the further course of the disease such as hydromyelia or re-tethering after repair of a meningomyelocele. Moreover, once a congenital spinal malformation is diagnosed, associated malformations should be sought after. A possible syndromal classification such as in OEIS- or VACTERL-syndromes should also be considered.
先天性脊柱畸形是一组复杂且异质性的疾病,其发病机制最好从胚胎学角度进行解释。在影像学上,当疾病首次出现症状时做出诊断很重要。然而,在疾病的进一步发展过程中,检测该疾病或相应治疗干预措施的并发症也至关重要,例如脊髓空洞症或脊髓脊膜膨出修复术后的再栓系。此外,一旦诊断出先天性脊柱畸形,就应寻找相关畸形。还应考虑可能的综合征分类,如OEIS综合征或VACTERL综合征。