Coronal and sagittal clefts in skeletal dysplasias (original) (raw)

Abstract

Objective. To assess the role of coronal and sagittal vertebral clefts in diagnosing skeletal dysplasias. Material and Methods. A search in the database at the International Skeletal Dysplasia Registry revealed 40 different diagnoses in which coronal or sagittal clefts were present, the major groups being: atelosteogenesis, chondrodysplasia punctata, dyssegmental dysplasia, Kniest dysplasia and short rib polydactyly syndrome. We reviewed all firm cases with both AP and lateral films of the spine in these major groups (n = 143), with patients' ages ranging from 20 weeks of gestation up to 26 years of age. Results. Ninety-four percent of all clefts were found in children less than 1 year of age, mainly located in the thoracolumbar region. Fifty-six percent of the clefts were observed in boys. Coronal clefts were more common than sagittal clefts. Clefts were most frequently observed in atelosteogenesis (88 %), followed by chondrodysplasia punctata (79 %), dyssegmental dysplasia (73 %), Kniest dysplasia (63 %) and short rib polydactyly syndrome (53 %). Conclusion. Vertebral clefts are of major diagnostic value in the groups mentioned above, especially before 1 year of age. The search did not come up with new entities in which vertebral clefts are of major diagnostic value.

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Authors and Affiliations

  1. Section of Paediatric Radiology, Department of Radiology, Rikshospitalet, University of Oslo, N-0027 Oslo, Norway, , , , , , NO
    J. Westvik
  2. International Skeletal Dysplasia Registry, Cedars-Sinai Medical Center, Los Angeles, California, USA, , , , , , US
    Ralph S. Lachman

Authors

  1. J. Westvik
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  2. Ralph S. Lachman
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Received/accepted: 6 May 1998

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Westvik, J., Lachman, R. Coronal and sagittal clefts in skeletal dysplasias.Pediatric Radiology 28, 764–770 (1998). https://doi.org/10.1007/s002470050462

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