Department of Pediatric Surgery, Emma Children's Hospital Amsterdam UMC, Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Amsterdam UMC, Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Pediatr Surg Int. 2023 Mar 19;39(1):153. doi: 10.1007/s00383-023-05440-y.
First, to assess the number of spinal cord anomalies (SCA), specifically tethered spinal cord (TSC) in patients with anorectal malformations (ARM), identified with spinal cord imaging (i.e. spinal cord US and/or MRI). Second, to report outcomes after TSC treatment.
A retrospective mono-center study was performed. All ARM patients born between January 2000 and December 2021 were included. Screening for SCA consisted of spinal cord US and/or MRI. Radiology reports were scored on presence of SCA. Data were presented with descriptive statistics.
In total, 254 patients were eligible for inclusion, of whom 234 (92.1%) underwent spinal cord imaging. In total, 52 (22.2%) patients had a SCA, diagnosed with US (n = 20, 38.5%), MRI (n = 10, 19.2%), or both US and MRI (n = 22, 42.3%), of whom 12 (23.5%) with simple, 27 (52.7%) intermediate, and 12 (23.5%) complex ARM types. TSC was identified in 19 patients (8.1%), of whom 4 (21.1%) underwent uncomplicated neurosurgical intervention.
SCA were present in 22% of ARM patients both in simple, as well as more complex ARM types. TSC was present in 19 patients with SCA, of whom 4 underwent uncomplicated neurosurgical intervention. Therefore, screening for SCA seems to be important for all ARM patients, regardless of ARM type.
Level III.
首先，评估患有肛门直肠畸形（ARM）的患者中脊髓异常（SCA），特别是脊髓栓系（TSC）的数量，这些异常通过脊髓成像（即脊髓 US 和/或 MRI）确定。其次，报告 TSC 治疗后的结果。
进行了一项回顾性单中心研究。所有 2000 年 1 月至 2021 年 12 月期间出生的 ARM 患者均纳入研究。SCA 的筛查包括脊髓 US 和/或 MRI。对影像学报告中的 SCA 进行评分。数据以描述性统计呈现。
共有 254 名患者符合纳入标准，其中 234 名（92.1%）接受了脊髓成像。共有 52 名（22.2%）患者存在 SCA，通过 US（n=20，38.5%）、MRI（n=10，19.2%）或 US 和 MRI （n=22，42.3%）诊断，其中 12 名（23.5%）为单纯 ARM 类型，27 名（52.7%）为中间型 ARM 类型，12 名（23.5%）为复杂型 ARM 类型。19 名患者（8.1%）存在 TSC，其中 4 名（21.1%）接受了简单的神经外科干预。
SCA 存在于 22%的 ARM 患者中，包括单纯型和更复杂的 ARM 类型。19 名存在 SCA 的患者中存在 TSC，其中 4 名接受了简单的神经外科干预。因此，对所有 ARM 患者，无论 ARM 类型如何，筛查 SCA 似乎都很重要。
III 级。
