Pub Date : 2026-02-28DOI: 10.1007/s00586-026-09839-8
Fei Wang, Cheng Zhang, Weiwei Jiang, Yue Lou, Weibin Tang, Wei Li, Gang Lin
Objective: To propose a morphologic-phenotypic stratification and investigate the radiological characteristics for the patients with anorectal malformation (ARM) associated with congenital spinal deformities.
Methods: A retrospective review was conducted on ARM patients who had received treatment in the neonatal surgery department of our hospital from January 2008 to December 2022. A total of 86 patients diagnosed with spinal deformities were enrolled, including 49 males and 37 females. We classified the patients included into three groups according to the range vertebral anomalies involving: Group Ⅰ: Patients with thoracic/lumbar vertebral anomalies but no sacral agenesis (SA). Group Ⅱ: Patients with isolated SA. Group Ⅲ: Patients with both SA and thoracic/lumbar vertebral anomalies. Their demographic characteristics, ARM type, type and location of the vertebral anomalies, sacral agenesis and rib anomalies, and concomitant defects of other systems were analyzed.
Results: There were 33 (38.4%), 41 (47.7%), and 12 (13.9%) patients in the Group Ⅰ, Group Ⅱ and Group Ⅲ, respectively. The average evaluation age of Group Ⅱ patients was 120.000 (90.000, 150.000) days, which was significantly older than the other two groups (P = 0.008). There was no gender difference and ARM type difference among three groups. The spinal deformity mainly occurred in main thoracic region (25/33) and proximal thoracic region (18/33) in Group Ⅰ, whereas in Group Ⅲ the spinal deformity mainly occurred in lumbar region (11/12) and thoracolumbar region (9/12) (P < 0.05). There was no significant difference of the type for vertebral anomaly, levels of vertebral anomaly involved and the percentage of the multiple anomalies between Group Ⅰ and Group Ⅲ. Group Ⅱ patients had more serious sacral agenesis than Group Ⅲ (P = 0.013). The prevalence of associated rib anomalies was higher in Group Ⅰ patients than Group ⅠI (P = 0.002). Besides, the patients of Group Ⅰ had lower incidence of intraspinal anomalies (P < 0.001) compared with the other two groups.
Conclusion: This study proposes a morphologic-phenotypic stratification for patients with anorectal malformations associated with congenital spinal deformities. Differences in clinical and radiological characteristics among the three groups have important implications for evaluation and treatment.
{"title":"Radiological analysis of congenital spinal deformities in patients associated with anorectal malformations: a cross-sectional study of 86 patients.","authors":"Fei Wang, Cheng Zhang, Weiwei Jiang, Yue Lou, Weibin Tang, Wei Li, Gang Lin","doi":"10.1007/s00586-026-09839-8","DOIUrl":"10.1007/s00586-026-09839-8","url":null,"abstract":"<p><strong>Objective: </strong>To propose a morphologic-phenotypic stratification and investigate the radiological characteristics for the patients with anorectal malformation (ARM) associated with congenital spinal deformities.</p><p><strong>Methods: </strong>A retrospective review was conducted on ARM patients who had received treatment in the neonatal surgery department of our hospital from January 2008 to December 2022. A total of 86 patients diagnosed with spinal deformities were enrolled, including 49 males and 37 females. We classified the patients included into three groups according to the range vertebral anomalies involving: Group Ⅰ: Patients with thoracic/lumbar vertebral anomalies but no sacral agenesis (SA). Group Ⅱ: Patients with isolated SA. Group Ⅲ: Patients with both SA and thoracic/lumbar vertebral anomalies. Their demographic characteristics, ARM type, type and location of the vertebral anomalies, sacral agenesis and rib anomalies, and concomitant defects of other systems were analyzed.</p><p><strong>Results: </strong>There were 33 (38.4%), 41 (47.7%), and 12 (13.9%) patients in the Group Ⅰ, Group Ⅱ and Group Ⅲ, respectively. The average evaluation age of Group Ⅱ patients was 120.000 (90.000, 150.000) days, which was significantly older than the other two groups (P = 0.008). There was no gender difference and ARM type difference among three groups. The spinal deformity mainly occurred in main thoracic region (25/33) and proximal thoracic region (18/33) in Group Ⅰ, whereas in Group Ⅲ the spinal deformity mainly occurred in lumbar region (11/12) and thoracolumbar region (9/12) (P < 0.05). There was no significant difference of the type for vertebral anomaly, levels of vertebral anomaly involved and the percentage of the multiple anomalies between Group Ⅰ and Group Ⅲ. Group Ⅱ patients had more serious sacral agenesis than Group Ⅲ (P = 0.013). The prevalence of associated rib anomalies was higher in Group Ⅰ patients than Group ⅠI (P = 0.002). Besides, the patients of Group Ⅰ had lower incidence of intraspinal anomalies (P < 0.001) compared with the other two groups.</p><p><strong>Conclusion: </strong>This study proposes a morphologic-phenotypic stratification for patients with anorectal malformations associated with congenital spinal deformities. Differences in clinical and radiological characteristics among the three groups have important implications for evaluation and treatment.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28DOI: 10.1007/s00586-026-09840-1
Terence P McSweeney, Zehra Akkaya, Jiamin Zhou, Po-Hung Wu, Noah B Bonnheim, Thomas M Link, Jaro Karppinen, Jeffrey C Lotz, Simo Saarakkala, Aaron J Fields, Aleksei Tiulpin
{"title":"Data-driven classification of lumbar spine degeneration trajectories in chronic low back pain.","authors":"Terence P McSweeney, Zehra Akkaya, Jiamin Zhou, Po-Hung Wu, Noah B Bonnheim, Thomas M Link, Jaro Karppinen, Jeffrey C Lotz, Simo Saarakkala, Aaron J Fields, Aleksei Tiulpin","doi":"10.1007/s00586-026-09840-1","DOIUrl":"https://doi.org/10.1007/s00586-026-09840-1","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-27DOI: 10.1007/s00586-026-09835-y
Jia Yi Loh, Xian Jun Ngoh, Zhihong Chew, Yee Gen Lim, Michael Janssen, Jiang Lei
{"title":"Cervical disc arthroplasty versus minimally invasive posterior cervical procedures as motion preserving surgeries for cervical radiculopathy: a systematic review and meta-analysis.","authors":"Jia Yi Loh, Xian Jun Ngoh, Zhihong Chew, Yee Gen Lim, Michael Janssen, Jiang Lei","doi":"10.1007/s00586-026-09835-y","DOIUrl":"https://doi.org/10.1007/s00586-026-09835-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147304102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-27DOI: 10.1007/s00586-026-09763-x
Jonas Krueckel, Melanie Ardelt, David Schiffelholz, Josina Straub, Sebastian Siller, Vanessa Hubertus, Sonja Häckel, Denis Bratelj, Christof Wutte, Helena Arias, Franz Hilber, Volker Alt, Siegmund Lang
{"title":"Application and efficacy of artificial intelligence in patient education on spinal cord injuries.","authors":"Jonas Krueckel, Melanie Ardelt, David Schiffelholz, Josina Straub, Sebastian Siller, Vanessa Hubertus, Sonja Häckel, Denis Bratelj, Christof Wutte, Helena Arias, Franz Hilber, Volker Alt, Siegmund Lang","doi":"10.1007/s00586-026-09763-x","DOIUrl":"https://doi.org/10.1007/s00586-026-09763-x","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147304145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-26DOI: 10.1007/s00586-026-09845-w
Ki-Han You, Sang-Min Park, Daniel Park, Min-Seok Kang, Seung-Yeon Jeong, Sun-Ho Cha, Samuel Cho, Hyun-Jin Park
{"title":"Comparison of paraspinal muscle changes after biportal endoscopic and microscopic lumbar discectomy or decompression.","authors":"Ki-Han You, Sang-Min Park, Daniel Park, Min-Seok Kang, Seung-Yeon Jeong, Sun-Ho Cha, Samuel Cho, Hyun-Jin Park","doi":"10.1007/s00586-026-09845-w","DOIUrl":"https://doi.org/10.1007/s00586-026-09845-w","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-26DOI: 10.1007/s00586-026-09821-4
Johannes Ebken, Sarabi Alireza, Jan Nils Küchler, Sven Weisser, Oliver Gembruch, Josephine Pollok, Christian Blume, Sylvia Schick, Vicki M Butenschoen, Bernhard Meyer, Nicole Lange
{"title":"Survival and neurological outcomes after traumatic atlanto-occipital dislocation: a combined multicenter clinical and forensic study.","authors":"Johannes Ebken, Sarabi Alireza, Jan Nils Küchler, Sven Weisser, Oliver Gembruch, Josephine Pollok, Christian Blume, Sylvia Schick, Vicki M Butenschoen, Bernhard Meyer, Nicole Lange","doi":"10.1007/s00586-026-09821-4","DOIUrl":"https://doi.org/10.1007/s00586-026-09821-4","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-26DOI: 10.1007/s00586-026-09777-5
Benjamin C Hawthorne, Alexander K Hahn, Matthew J Solomito, Jesse Eisler
{"title":"Preoperative PROMIS-10 global physical function T-Score is associated with 1-year post-operative outcomes following elective lumbar spine fusion.","authors":"Benjamin C Hawthorne, Alexander K Hahn, Matthew J Solomito, Jesse Eisler","doi":"10.1007/s00586-026-09777-5","DOIUrl":"https://doi.org/10.1007/s00586-026-09777-5","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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