Sonographic spinal imaging of normal anatomy, pathology and magnetic growing rods in children

Arthur B Meyers1, Tushar Chandra2, Monica Epelman2

  • 1Department of Radiology, Nemours Children's Health System, Nemours Children's Hospital, 13535 Nemours Parkway, Orlando, FL, 32827, USA. arthurbmeyers@yahoo.com.

Pediatric Radiology
|August 6, 2017
PubMed

Insights

Ultrasound is a safe, first-line imaging tool for pediatric spinal evaluation, especially in infants. It assesses normal anatomy, pathology, and growing spinal rods without radiation.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Ultrasound Technology

Background:

  • Sonography is a preferred initial imaging modality in pediatric patients due to its safety and accessibility.
  • Infants' developing spinal anatomy offers a unique window for detailed spinal canal imaging.
  • Conventional imaging methods may involve ionizing radiation or sedation, posing risks to children.

Purpose of the Study:

  • To review the clinical indications, techniques, and findings for lumbosacral spine ultrasound in neonates and infants.
  • To describe the ultrasound assessment of magnetically controlled growing spinal rods.
  • To highlight ultrasound's utility in evaluating spinal hardware without ionizing radiation.

Main Methods:

  • Review of clinical indications for pediatric spinal ultrasound.
  • Description of sonographic techniques for neonatal and infant lumbosacral spine imaging.
  • Explanation of ultrasound protocol for assessing growing spinal rods.

Main Results:

  • Ultrasound provides detailed visualization of the spinal canal and contents in young infants.
  • Sonography effectively evaluates normal anatomy, congenital abnormalities, and pathology of the pediatric spine.
  • Ultrasound assessment of growing spinal rods allows for accurate measurement of distraction without radiation exposure.

Conclusions:

  • Ultrasound is a valuable, radiation-free tool for evaluating the pediatric lumbosacral spine and its contents.
  • Sonography facilitates the monitoring of spinal growth hardware, aiding orthopedic and radiologic management.
  • The technique offers a safe and effective alternative to ionizing radiation-based imaging in pediatric spinal assessment.

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