Meyers Arthur B, Chandra Tushar, Epelman Monica
Department of Radiology, Nemours Children's Health System, Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL, 32827, USA.
Pediatr Radiol. 2017 Aug;47(9):1046-1057. doi: 10.1007/s00247-017-3845-6. Epub 2017 Aug 4.
The wide availability of ultrasound, along with its lack of ionizing radiation burden and need for sedation for most exams, often make sonography the first line in the imaging evaluation of children. The developing osseous anatomy of the spine in young infants provides a distinct window allowing for a detailed depiction of the spinal canal and its contents, which is not present in older children or adults. Here we review the clinical indications, sonographic technique, normal anatomy and pathology for imaging the lumbosacral spine in neonates and young infants. Additionally, we review the procedure for ultrasound assessment of the lengthening of magnetically controlled growing spinal rods, which allows orthopedists and radiologists to evaluate the effectiveness of distraction procedures of this hardware without the use of ionizing radiation.
超声的广泛应用,加之其无电离辐射负担且大多数检查无需镇静,常使超声检查成为儿童影像评估的首选。幼儿脊柱正在发育的骨解剖结构提供了一个独特的窗口,可详细描绘椎管及其内容物,而这在大龄儿童或成人中并不存在。在此,我们回顾新生儿和幼儿腰骶椎成像的临床适应证、超声技术、正常解剖结构及病理情况。此外,我们还回顾了超声评估磁控生长型脊柱棒延长情况的操作过程,这使骨科医生和放射科医生无需使用电离辐射就能评估该硬件牵张操作的有效性。