Albert Gregory W
Division of Neurosurgery, Arkansas Children's Hospital, Little Rock, AR, USA.
Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Acta Paediatr. 2016 Aug;105(8):890-4. doi: 10.1111/apa.13422. Epub 2016 Apr 24.
Primary care providers commonly obtain spine ultrasounds for neonates with simple sacral dimples due to perceived concerns about underlying spinal dysraphism, despite a lack of scientific evidence. Nine papers addressing routine spine ultrasounds for children with sacral dimples showed that 3.4% of the 5166 patients had abnormal spine ultrasounds, compared with the 4.8% reported by another study for children without sacral dimples. Most of the abnormal findings in patients with sacral dimples were of no clinical significance.
Sacral dimples do not predict underlying spinal cord malformations, and spine ultrasounds should not be performed for neonates with simple sacral dimples.
尽管缺乏科学证据，但由于对潜在脊柱发育异常的担忧，基层医疗服务提供者通常会为患有单纯骶部酒窝的新生儿进行脊柱超声检查。九篇关于对有骶部酒窝儿童进行常规脊柱超声检查的论文显示，5166例患者中有3.4%的脊柱超声检查结果异常，而另一项针对无骶部酒窝儿童的研究报告的异常率为4.8%。有骶部酒窝患者的大多数异常发现无临床意义。
骶部酒窝不能预测潜在的脊髓畸形，对于患有单纯骶部酒窝的新生儿不应进行脊柱超声检查。
