Diagnosis and treatment of split cord malformations in children
- VernacularTitle:儿童脊髓纵裂畸形诊治体会
- Author:
Chunquan CAI
;
Qingjiang ZHANG
;
Changhong SHEN
;
Weidong YANG
;
Xiao MA
;
Ning SUN
;
Chunxiang WANG
- Publication Type:Journal Article
- Keywords:
Neural tube defects;
Child
- From:
Chinese Journal of General Practitioners
2008;7(10):709-712
- CountryChina
- Language:Chinese
-
Abstract:
We retrospectively analyzed clinical and imaging data of 26 children with split cord malformations (SCMs). Based on Pang's classification, 14 SCMs were defined as type Ⅰ and 12 as type Ⅱ.Neural function was markedly improved in 20 patients postoperatively. Three of 4 children who did not undergo surgical treatment had neural function deteriorated. Two children lost follow-up. We suggest that Pang's Classification of SCMs may be useful in describing pathological changes and guiding surgical procedure; imaging examine (including MRI, CT and X-ray) would play a significant role in confirmed SCMs diagnosis; and surgical operation should focus on eliminate and prevent spinal cord damnification.