Spondylolysis and spina bifida occulta in pediatric patients: prevalence study using computed tomography as a screening method

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dc.contributor.authorUrrutia, Julio
dc.contributor.authorCuellar, Jorge
dc.contributor.authorZamora, Tomas
dc.date.accessioned2025-01-23T21:32:05Z
dc.date.available2025-01-23T21:32:05Z
dc.date.issued2016
dc.description.abstractThe prevalence of spondylolysis reported from radiograph-based studies has been questioned in recent computed tomography (CT)-based studies in adults; however, no new data are available in pediatric patients. Spina bifida occulta (SBO), which has been associated to spondylolysis, may be increasing its prevalence, according to recent studies in adults in the last decades, but without new data in pediatric patients. We aimed to determine the prevalence of spondylolysis and SBO in pediatric patients using abdomen and pelvis CT as a screening tool.
dc.description.abstractWe studied 228 patients 4-15 years old (107 males), who were evaluated with abdomen and pelvis CT scans for reasons not related to the spine. The entire lumbo-sacral spine was evaluated to detect the presence of spondylolysis and SBO. We compared the prevalence of spondylolysis in patients with and without SBO. A logistic regression analysis was performed to determine the effect of age and sex as independent predictors of spondylolysis and SBO.
dc.description.abstractThe prevalence of spondylolysis was 3.5 % (1.1-5.9 %); 2/8 patients presented with olisthesis, both with grade I slip. The prevalence of SBO was 41.2 % (34.8-59.2 %) (94 patients). Spondylolysis was not more frequent in patients with SBO than in patients without SBO. Male sex and decreasing age independently predicted the presence of SBO, but not of spondylolysis.
dc.description.abstractWe observed a 3.5 % prevalence of spondylolysis and a 41.2 % prevalence of SBO. SBO was significantly more frequent in males and younger patients.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00586-014-3480-y
dc.identifier.eissn1432-0932
dc.identifier.issn0940-6719
dc.identifier.urihttps://doi.org/10.1007/s00586-014-3480-y
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/101483
dc.identifier.wosidWOS:000369013100031
dc.issue.numero2
dc.language.isoen
dc.pagina.final595
dc.pagina.inicio590
dc.revistaEuropean spine journal
dc.rightsacceso restringido
dc.subjectSpondylolysis
dc.subjectSpina bifida occulta
dc.subjectSpondylolisthesis
dc.subjectPrevalence study
dc.subjectOpen vertebral arch
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSpondylolysis and spina bifida occulta in pediatric patients: prevalence study using computed tomography as a screening method
dc.typeartículo
dc.volumen25
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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