1. Congenital pelvic skeletal anomalies: Clinical and radiographic evaluation of newborns with gastrointestinal malformation.
- Author
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Schierz IAM, Pinello G, Piro E, Giuffrè M, Cimador M, and Corsello G
- Subjects
- Adult, Digestive System Abnormalities diagnostic imaging, Digestive System Abnormalities pathology, Female, Humans, Incidence, Infant, Newborn, Infant, Newborn, Diseases diagnostic imaging, Infant, Newborn, Diseases pathology, Male, Musculoskeletal Abnormalities diagnostic imaging, Musculoskeletal Abnormalities pathology, Pelvis diagnostic imaging, Radiography, Digestive System Abnormalities epidemiology, Infant, Newborn, Diseases epidemiology, Musculoskeletal Abnormalities epidemiology, Pelvis abnormalities
- Abstract
Background: Congenital pelvic skeletal anomalies (CPSA) may appear as isolated defects or in association with other anomalies like congenital malformations of the digestive system (CMDS). Minor CPSA in non-syndromic patients are often overlooked. We aimed to assess the frequency of CPSA in newborns with CMDS to review the diagnostic approaches., Study Design: A retrospective review of medical records of 201 newborns who underwent X-rays for different neonatal indications was conducted. In 122 patients CMDS were diagnosed and classified according to the ICD-10 classification; 79 non-CMDS patients acted as controls. Pelvic skeletal segments were examined by X-rays., Results: Patients with CMDS, showed a higher risk of CPSA (Odds ratio 2.89; 95% CI 1.34 6.23) and other associated malformations in comparison to non-CMDS patients. Newborns with malformations of the large intestine have the highest risk of adjacent CPSA (48%), as it is a developmental defect originating from the same somite. In addition to skeletal agenesis/hypoplasia, we reported dysmorphic and bifid vertebras, trident ileum, and elongated neural arches., Conclusions: The high incidence of CPSA in CMDS suggests performing a routine radiographic pelvic evaluation in cases of CMDS in order to identify complex phenotypes that could originate from the same developmental field., Competing Interests: Declaration of competing interest None., (Copyright © 2019 Elsevier B.V. All rights reserved.)
- Published
- 2020
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