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Comparison of Ultrasonographic Findings between Patients with Tethered Cord Syndrome and Healthy Children | ||
Iranian Journal of Medical Sciences | ||
مقاله 4، دوره 48، شماره 2، خرداد 2023، صفحه 130-136 اصل مقاله (723.77 K) | ||
نوع مقاله: Original Article(s) | ||
شناسه دیجیتال (DOI): 10.30476/ijms.2022.93848.2517 | ||
نویسندگان | ||
Ehsan Keykhosravi1؛ Elham Faravani2؛ Soroosh Dehghani Dashtabi2؛ Maryam Emadzadeh3؛ Seyed Ali Alamdaran2؛ Behzad Aminzadeh* 2 | ||
1Department of Neurosurgery, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
2Department of Radiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
3Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
چکیده | ||
Background: Tethered cord syndrome (TCS) is a type of occult spinal dysraphism, which necessitates early detection as an essential component of patient management in reducing complications. This study aimed to compare the findings of spinal cord ultrasonography between TCS patients and healthy individuals. Methods: The current study is a case-control study of patients who were admitted to the Akbar and Ghaem Hospitals (Mashhad, Iran) in 2019. The study population comprised 30 children with TCS aged under two years old, and the control group included 34 healthy peers of the same age. The maximum distance of the spinal cord from the posterior canal wall was measured in millimeters using ultrasonography. Demographic and sonographic findings of each participant were recorded in checklists, which were then entered into SPSS software. P values less than 0.05 were considered statistically significant. Results: The study included 30 children with TCS and 34 healthy individuals with a mean age of 7.67±6.39 months. TCS patients had a significantly shorter maximum distance of the spinal cord from the posterior wall of the spinal canal than the control group (1.75±0.62 mm vs. 2.79±0.76, P<0.001). After performing corrective surgery, the TCS patients indicated significant improvement in this interval (1.57±0.54 mm to 2.95±0.49 mm, respectively, P=0.001). Conclusion: In comparison to children without TCS, the spinal cord was substantially closer to the posterior canal wall in TCS patients. However, these outcomes were improved significantly in patients after surgery. | ||
کلیدواژهها | ||
Neural tube defects؛ Spinal dysraphism؛ Ultrasonography | ||
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