Affiliation:
1. National Medical Research Center for Children Health
2. Orenburg State Medical University
3. Institute of Cellular and Intracellular Symbiosis, Ural Branch of the Russian Academy of Sciences
Abstract
A clinical and ultrasound examination of 126 children aged 11-16 years was carried out: 60 conditionally healthy children without structural deformations of the spine and thorax; 42 patients with dysplastic deformity of the spine and thorax, degree I-III; 24 patients with spinal and thoracal deformities of the fourth degree. For diagnosis, orthopedic and ultrasound methods were used. A significant increase in the incidence and severity of dilation of the hepatic veins in children with scoliotic deformities of the spine and chest was established. These indices were significantly elevated in children with severe deformities compared with patients with deformations of the I-III degree, these parameters being associated with the severity of the deformation of the spine and thorax. In children with severe deformities of the spine and thorax, dilation of the vena cava inferior was detected, accompanied by the dilation of the hepatic veins and associated with the severity of deformations of the spine and chest, both in the prevalence and the pronouncement of this symptom. The data obtained indicate the possibility of using dilation of the hepatic veins as one of the clinical markers for the early diagnosis of hemodynamic disorders associated with a scoliotic disease, which will allow primary health care doctors timely deciding on the need for orthopedic correction of spinal deformity to prevent the progression of scoliotic disease in children.
Publisher
National Medical Research Center for Childrens Health
Reference28 articles.
1. Cheng J.C., Castelein R.M., Chu W.C., Danielsson A.J., Dobbs M.B., Grivas T.B., et al. Adolescent idiopathic scoliosis. Nat. Rev. Dis. Primers. 2015; 1: 15030. DOI: http://doi.org/10.1038/nrdp.2015.30
2. Avtandilov A.G., Vetrile S.T., Enaldieva R.V., Nemanova D.I., Kuleshov A.A. Noninvasive preoperative assessment of the cardiorespiratory system in adolescents with severe thoracic scoliosis. Khirurgiya pozvonochnika. 2012; (2): 45-8. (in Russian)
3. Schreiber S., Parent E.C., Hedden D.M., Hill D., Moreau M.J., Lou E., et al. The effect of Schroth exercises added to the standard of care on the quality of life and muscle endurance in adolescents with idiopathic scoliosis – an assessor and statistician blinded randomized controlled trial: SOSORT 2015 Award Winner. Scoliosis. 2015; 10: 24. DOI: http://doi.org/10.1186/s13013-015-0048-5
4. Kadurina T.I., Gnusaev S.F., Arsent’ev V.G., Abbakumova L.N., Aksenov A.V., Alimov I.L., et al. Multiorgan disorders in connective tissue dysplasia in children. Algorithm of diagnosis. management tactics. Draft of Russian recommendations. Part 2. Meditsinskiy vestnik Severnogo Kavkaza. 2016; 11(2-2): 239-63. DOI: http://doi.org/10.14300/mnnc.2016.11050 (in Russian)
5. Enaldieva R.V., Avtandilov A.G., Vetrile S.T., Kuleshov A.A., Galichenko I.V., Makhakova G.Ch., et al. Changes in hemodynamics of greater and lesser circulation in scoliotic disease. Khirurgiya pozvonochnika. 2006; (1): 44-9. (in Russian)