Jamil M, Bannister C M
Department of Neurosurgery, Booth Hall Children's Hospital, Blackley, Manchester, England.
Eur J Pediatr Surg. 1992 Dec;2 Suppl 1:26-8. doi: 10.1055/s-2008-1063495.
This investigation is a retrospective study of 12 patients with spinal dysraphism. There were 5 males and 7 females in the cohort. Their ages ranged from 4 to 13 years at the time of their last assessment. Initial presentation included one or more of the following--a blemish on the back in the midline (lump, hairy patch, sinus and/or angioma), abnormal neurological signs and symptoms in one or both legs, and in one case dribbling of urine. Investigations performed included plain X-rays of the spine, CT scans alone or in combination with a myelogram and MR scans. Findings included thickened filum terminale, low lying cord, lipoma, syringomyelia, diastematomyelia, spina bifida occulta and sacral agenesis. The children were followed up for between 2 and 10 years. During the period of observation, none developed new symptoms or signs, and there was no progression of existing neurological deficits. This preliminary report suggests that there is no justification for prophylactic surgery in this group of patients.
本研究是对12例脊柱裂患者的回顾性研究。该队列中有5名男性和7名女性。他们在最后一次评估时的年龄在4岁至13岁之间。初始表现包括以下一种或多种——中线背部瑕疵（肿块、毛发斑块、窦道和/或血管瘤）、单腿或双腿异常神经体征和症状，以及1例尿失禁。所进行的检查包括脊柱平片、单独的CT扫描或与脊髓造影联合的CT扫描以及磁共振扫描。检查结果包括终丝增厚、脊髓低位、脂肪瘤、脊髓空洞症、脊髓纵裂、隐性脊柱裂和骶骨发育不全。对这些儿童进行了2至10年的随访。在观察期间，没有人出现新的症状或体征，现有神经功能缺损也没有进展。这份初步报告表明，在这组患者中没有进行预防性手术的理由。
