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Published on: April 17, 2019
Analysis of the sacroiliac joint vacuum phenomenon in paediatric patients
Sun-Kyoung You1, Hyo-Jin Lee1, Jeong-Eun Lee1
11 Department of Radiology, Chungnam National University Hospital, Daejeon, South Korea.
Insights
The sacroiliac joint vacuum phenomenon (SIJ VP) is common in children, found in 31.6% of patients. This finding is linked to older age but not sex or BMI in pediatric cases.
Area of Science:
- Radiology
- Orthopedics
- Pediatric Imaging
Background:
- The sacroiliac joint vacuum phenomenon (SIJ VP) is a known finding in adults, often associated with degenerative changes.
- Its prevalence and clinical correlations in pediatric populations are less understood.
Purpose of the Study:
- To determine the incidence of SIJ VP in pediatric patients.
- To investigate the relationship between SIJ VP and clinical factors including age, sex, and body mass index (BMI).
Main Methods:
- Retrospective review of 60 pediatric patients undergoing abdominopelvic CT (AP CT).
- Patients categorized into SIJ VP and non-VP groups.
- Comparison of demographic and clinical data between groups.
Main Results:
- SIJ VP detected in 19 (31.6%) patients.
- SIJ VP group was significantly older than the non-VP group (p < 0.001).
- No significant association found between SIJ VP and sex (p = 0.781) or age-adjusted BMI (p = 0.326).
Conclusions:
- SIJ VP is a relatively common finding in pediatric patients, with a prevalence comparable to adults.
- Patient age is a significant factor associated with SIJ VP in children.
- Sex and BMI were not found to be significant factors in pediatric SIJ VP.
Objective:
To assess the incidence of the sacroiliac joint vacuum phenomenon (SIJ VP) in paediatric patients and the relationship between the presence of VP and clinical factors such as age, sex and body mass index (BMI).
Methods:
We retrospectively reviewed clinical data and imaging findings of 60 patients who underwent abdominopelvic CT (AP CT) between January and June 2015. Patients were divided into VP group and non-VP group based on the presence/absence of VP, and the groups were compared. In addition, other degenerative changes in the SIJ were recorded.
Results:
The SIJ VP was detected in 19 (31.6%) patients. There were no significant differences in sex distribution between VP and non-VP groups (p = 0.781). The age of the VP group was significantly higher than that of the non-VP group (p < 0.001). After adjusting the BMI for age, there was no significant association between high BMI and the presence of SIJ VP (p = 0.326). Other degenerative changes were not noted in any of the patients.
Conclusion:
The SIJ VP is not an uncommon finding in paediatric patients. The prevalence of SIJ VP in paediatric patients is similar to its prevalence in adults. The SIJ VP is related to patient age, but not to sex or BMI in children and young adolescents. Advances in knowledge: AP CT can provide information about the SIJ, if it is required to assess the SIJ in paediatric patients.
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