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[Genitourinary anomalies in children with congenital scoliosis]
Insights
Congenital scoliosis in children is often linked to urinary tract abnormalities. Routine abdominal ultrasounds are recommended for early detection of these common urological issues.
Area of Science:
- Pediatric Orthopedics
- Urology
- Medical Imaging
Context:
- Congenital scoliosis frequently involves multiple system malformations.
- Urinary tract anomalies are underrecognized in patients with congenital scoliosis.
Purpose:
- To investigate the prevalence of urological abnormalities in children diagnosed with congenital scoliosis.
- To assess the utility of routine abdominal ultrasonography in this patient population.
Summary:
- A review of 35 children with congenital scoliosis revealed 15 urological abnormalities in 12 patients (34%).
- Unilateral renal agenesis was the most common finding (36% of urological cases).
- Over 70% of affected children had additional defects in other systems, including central nervous, cardiovascular, or gastrointestinal.
Impact:
- Highlights the significant association between congenital scoliosis and urinary tract malformations.
- Supports the recommendation for routine abdominal ultrasonography in children with congenital scoliosis for early diagnosis and management.
- Emphasizes the importance of a multidisciplinary approach for patients with congenital scoliosis and associated anomalies.
Abstract:
Congenital scoliosis has been associated with malformations of several systems but little attention has been paid to those of the urinary tract. Thirty five patients among 100 children with congenital scoliosis were included in this review because they had been further explored by abdominal ultrasonography or excretory urography. There were 19 female patients (54%). Age ranged from 3 months to 11 years when images were taken. Twelve patients (34%) had 15 urological abnormalities, the most frequent of these was unilateral renal agenesis (36%). In 9 of 12 affected children there were additional defects in a third system (central nervous, cardiovascular or gastrointestinal). On this basis routine abdominal ultrasonography for children with congenital scoliosis seems justified.