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Sacrum index in children suffering from different grades of vesicoureteral reflux

Parsa Yousefi1, Ali Siroos1, Fatemeh Darreh2

  • 1Department of Nephrology, Arak University of Medical Sciences, Arak, Iran.

Pakistan Journal of Biological Sciences : PJBS
|February 7, 2014
PubMed

Insights

The sacrum index may predict outcomes in children with vesicoureteral reflux (VUR). Abnormal sacrum index rates differed significantly between children with high-grade VUR and those with normal results, suggesting its use in treatment planning.

Area of Science:

  • Pediatric Urology
  • Radiology
  • Medical Imaging

Background:

  • Vesicoureteral reflux (VUR) is a common condition in children.
  • Accurate prognostic factors for VUR are crucial for guiding treatment decisions.

Purpose of the Study:

  • To evaluate the sacrum index as a potential prognostic factor in pediatric VUR.
  • To compare the sacrum index between children with high-grade VUR and controls.

Main Methods:

  • A case-control study design was employed.
  • Children with grades III, IV, and V VUR (based on VCUG) were compared to a control group with normal VCUG and a history of urinary tract infections.
  • The sacrum index was measured and compared between the two groups.

Main Results:

  • A statistically significant difference in the sacrum index abnormality rate was observed between the VUR group and the control group (p = 0.001).
  • This finding suggests a correlation between sacrum index abnormalities and the severity of VUR.

Conclusions:

  • The sacrum index shows promise as a predictive factor for medical treatment prognosis in children with VUR.
  • Abnormalities in the sacrum index may aid in identifying children who are candidates for surgical intervention.

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