Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 24481
CLINICAL AND MRI ANALYSIS OF CAUDAL REGRESSION SYNDROME AND
CONCOMITANT ANOMALIES
Mehmet BALIOGLU, Aysegul BURSALI, Mehmet TACAL
Baltalimani Bone Disease Teaching Hospital, Istanbul (TURKEY)
PURPOSE: To review the clinical and Magnetic Resonance Imaging (MRI) results of
patients with CRS with a view to better understand the condition and its concomitant
anomalies. MATERIAL AND METHODS: A retrospective study was conducted using
the MRI results, radiological and clinical data of pediatric patients who came to our
hospital with spinal problems related to congenital or neuromuscular conditions.
Radiographs were reviewed to classify each patient by Renshaw type. The mean age
was 81 (30-180) months. The 7 CRS patients were examined to study the presence
of congenital anomalies concomitant with CRS. RESULTS: Of 77 patients, 7 (9%)
were diagnosed with Sacral Agenesia related to CRS. According to the Renshaw
classification, 3 children were defined as type 4, 2 children were type 2 and 2 child
was type 1. The following conditions were diagnosed: 1 ectopic anus, 1 cleft mouth, 2
urinary system anomalies, 2 Thoracic Insufficiency, 3 displaced hips, 1 syndactily, 4
scoliosis, 2 kyphosis, 1 amelia. Using MRI results the following were diagnosed: 1
diaphragm hernia, 1 chiari malformation, 3 multi-level hemivertibra, 3
syringohidromyelia, 2 tethered cord, 1 diastometamyelia, 3 Sipina Bifida (SB), 7
sacral agenesia and 1 sacral dermal sinus. CONCLUSION: In this study 9% of the
patients were diagnosed with CRS in combination with congenital and SB related
spinal deformities. Our retrospective study allowed us to see the various concomitant
conditions which often occur with CDR. Better understanding the condition at an
early age will allow us to devise new treatment and maximize recovery.
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