Document Detail

The value of ultrasonic examination of the lumbar spine in infants with specific reference to cutaneous markers of occult spinal dysraphism.
MedLine Citation:
PMID:  15642296     Owner:  NLM     Status:  MEDLINE    
AIM: To present part of the rationale behind the recent update to the M12 guideline in The Royal College of Radiologists' publication "Making the best use of a department of clinical radiology", 4th edition 1998, which stated that ultrasound was useful in screening for dysraphism in infants with cutaneous markers such as sacral dimple or hairy patch. MATERIALS AND METHODS: Over a 10-year period a total of 223 infant lumbar spines were scanned, for various clinical indications. Forty of these patients had already had abnormalities detected antenatally by foetal ultrasonography. One hundred and eight-three patients had abnormalities detected on postnatal clinical examination; most of these had various cutaneous markers, some had other congenital abnormalities. RESULTS: There were a total of 29 patients with dysraphism; 24 were detected antenatally and five postnatally. Of the five, two had two or more cutaneous markers and three had anorectal anomalies. All 86 of the patients with simple sacral dimples, pits or sinuses were normal. CONCLUSION: As an isolated abnormality, simple dimples or pits are not useful markers of spinal dysraphism. The authors suggest a new imaging protocol, resulting in improved diagnostic efficiency.
A J Robinson; S Russell; S Rimmer
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Publication Detail:
Type:  Journal Article; Validation Studies    
Journal Detail:
Title:  Clinical radiology     Volume:  60     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-11     Completed Date:  2005-03-08     Revised Date:  2005-09-06    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  72-7     Citation Subset:  IM    
Department of Diagnostic Radiology, St Mary's Hospital, Manchester, UK.
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MeSH Terms
Infant, Newborn
Lumbar Vertebrae / ultrasonography*
Skin Diseases / ultrasonography*
Spinal Dysraphism / ultrasonography*
Comment In:
Clin Radiol. 2005 Aug;60(8):935   [PMID:  16039931 ]

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