ULTRASOUND IN CONGENITAL SCOLIOSIS
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The middle of the second trimester is the most ideal time to identify spinal
anomalies, as there is sufficient ossification of the spine without fetal
crowding to accurately assess the entire spine.
NORMAL SPINAL OSSIFICATIONNORMAL SCANNING PLANES
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Link to Normal Spinal
Ossification Centers And Scanning Planes
ULTRASOUND OF CONGENITAL SCOLIOSIS |
- Identify kyphosis, scoliosis or lordosis.
- Assess which vertebrae are involved (the site with the worst prognosis is the thoracolumbar region, the most benign location is the upper thoracic spine; the most common site is the lower thoracic region - 33%) (1).
- Assess the CNS and Spine for a neural tube defect.
- Myelomeningocele.
- Encephalocele.
- Anencephaly / Exencephaly.
- Iniencephaly.
- Craniorachischisis.
- Assess the Abdomen and Kidneys.
- Assess the Extremities.
- Caudal Regression Syndrome.
- Long Bone Defects (VACTERL Syndrome).
- Assess the Chest for a thoracic dysplasia.
- Look for adhesive Amniotic Bands.
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REFERENCES |
- McMaster MJ, Ohtuka K. The natural history of congenital scoliosis. J Bone Joint Surg 1982;64:1128-1147.
- McMaster MJ. Occult intraspinal anomalies and congenital scoliosis. J Bone Joint Surg 1984;66:588-601.