Changes in the Lumbosacral Angle after Spinal Cord Untethering in 23 Children with Tethered Cord Syndrome.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Turkish neurosurgery Pub Date : 2024-01-01 DOI:10.5137/1019-5149.JTN.40660-22.2

Bing Xia, Hongqian Wang, Yingmei Dong, Wenjing Wang, Fuyun Liu, Weiming Hu, Feipeng Wang

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引用次数: 0

Abstract

Aim: To analyze changes in the lumbosacral angle in children with tethered cord syndrome before and after spinal cord untethering surgery, and to determine the clinical value of such changes at the last follow-up.

Material and methods: We retrospectively analyzed 23 children over 5 years old who were treated with spinal cord untethering in our hospital from January 2010 to January 2021 and who had complete medical data. X-rays were used to examine the child's spine preoperatively, postoperatively, and at follow-up with frontal and lateral radiographs, and lumbosacral angle data were measured and analyzed.

Results: A total of 23 children aged 5-14 years had their lumbosacral angles measured and analyzed with a postoperative followup of 12-48 months. The mean preoperative lumbosacral angle was 70.30 ± 9.04°, the mean postoperative lumbosacral angle was 63.34 ± 5.60°, and the mean lumbosacral angle at the last follow-up was 61.61 ± 9.14°. There was a statistically significant reduction in the lumbosacral angle in the children postoperatively and at the last follow-up compared to the preoperative period (p=0.002; p=0.001).

Conclusion: Spinal cord untethering can improve the inclination of the lumbosacral angle in children older than 5 years with tethered cord syndrome.

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23 名脊髓拴系综合征患儿脊髓松绑后腰骶角的变化。

目的：分析脊髓松解术前后系带综合征患儿腰骶角的变化，并确定最后一次随访时这些变化的临床价值：我们回顾性分析了2010年1月至2021年1月期间在我院接受脊髓松解术治疗的23名5岁以上且医疗资料完整的儿童。采用X光片对患儿的脊柱进行术前、术后和随访时的正面和侧面X光片检查，并测量和分析腰骶角数据：共对 23 名 5-14 岁儿童的腰骶角进行了测量和分析，术后随访 12-48 个月。术前腰骶角的平均值为 70.30 ± 9.04°，术后腰骶角的平均值为 63.34 ± 5.60°，最后一次随访时腰骶角的平均值为 61.61 ± 9.14°。与术前相比，患儿术后和最后一次随访时的腰骶角均有统计学意义上的明显缩小（P=0.002；P=0.001）：结论：脊髓松解术可改善5岁以上脊髓系带综合征患儿的腰骶角倾斜度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.