Journal of Pediatric Neurosciences
ORIGINAL ARTICLE
Year
: 2016  |  Volume : 11  |  Issue : 3  |  Page : 206--212

Ultrasonography and magnetic resonance imaging evaluation of pediatric spinal anomalies


Dhaval Durlabhbhai Dhingani1, Deb Kumar Boruah1, Hemonta Kumar Dutta2, Rudra Kanta Gogoi1 
1 Department of Radio Diagnosis, Assam Medical College and Hospital, Dibrugarh, Assam, India
2 Department of Pediatric Surgery, Assam Medical College and Hospital, Dibrugarh, Assam, India

Correspondence Address:
Dhaval Durlabhbhai Dhingani
Department of Radio Diagnosis, Assam Medical College and Hospital, Dibrugarh - 786 002, Assam
India

Context: Spinal dysraphisms are congenital abnormalities of the spine due to imperfect fusion of midline mesenchymal, bony and neural structures. Imaging plays a vital role in their evaluation as significant portion of patients may present with concurrent anomalies that need to be corrected simultaneously to avoid repeat surgeries. Aims: The aims of the study were to evaluate Spinal dysraphisms using USG and MRI and to correlate imaging findings with operative findings in patients undergoing surgery. Settings and Design: Hospital based observational study conducted over a period of year. Materials and Methods: 38 cases of both sexes and below 12 years of age with spinal dysraphism were studied. USG was performed in 29 cases where acoustic window was available for proper evaluation. MRI was performed in all cases. USG findings were compared with MRI findings and operative follow up was taken in 23 cases who underwent operative management. Statistical Analysis Used: Results were analysed using percentage and arithmetic mean. Results: 39.47 % cases were male and 60.53 % cases were female. Neonatal period was the most common presenting age group. Closed spinal dysraphism (63.16%) was more common than open (36.84%). 79.31% cases showed full agreement between spinal USG and MRI examinations and 6 out of 20.69% showed partial agreement. On operative correlation, USG findings were confirmatory in 91.30% cases and MRI findings were confirmatory in 100% cases. Conclusions: USG can be used as the initial modality for evaluation of spinal dysraphism as well as for screening of suspected cases. MRI is indicated to confirm abnormal USG findings, which shows all concurrent abnormalities and also provides additional anatomical details relevant to surgical planning.


How to cite this article:
Dhingani DD, Boruah DK, Dutta HK, Gogoi RK. Ultrasonography and magnetic resonance imaging evaluation of pediatric spinal anomalies.J Pediatr Neurosci 2016;11:206-212


How to cite this URL:
Dhingani DD, Boruah DK, Dutta HK, Gogoi RK. Ultrasonography and magnetic resonance imaging evaluation of pediatric spinal anomalies. J Pediatr Neurosci [serial online] 2016 [cited 2021 May 13 ];11:206-212
Available from: https://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2016;volume=11;issue=3;spage=206;epage=212;aulast=Dhingani;type=0