{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T12:55:52Z","timestamp":1763643352967},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Sacrospinal anomalies that may accompany anorectal malformations may cause fecal and urinary incontinence despite proper anomaly treatment. The sacral ratio has been suggested in the determination of both the prognosis in terms of incontinence and the need for further examination for sacrospinal anomalies. The normal and clinically decisive values of sacral ratio are given differently in publications. We aimed to determine the distribution of the sacral ratio in children under 12 months and to develop the sacral ratio percentile card that will enable one to give an age-independent parametric result in clinical evaluations.<\/jats:p><jats:p>\n          Materials and Methods\u2003The files of patients under 1 year of age who had anteroposterior direct radiography including pelvis were reviewed retrospectively. Sacral ratio was studied for 360 patients, 30 patients per month. Percentile card was developed with LMS software and reference values were used as 1, 2, 3, 4, and 10%.<\/jats:p><jats:p>\n          Results\u2003The lowest sacral ratio value was 0.514 and the highest value was 0.936. There was no statistical difference between the mean sacral ratio of the cases when they were classified on a monthly basis (p\u2009=\u20090.191). Low percentile values were found slightly different at first 4 months of age.<\/jats:p><jats:p>\n          Conclusion\u2003Although the mean of sacral ratio does not change significantly during the first year of life, values that are considered pathological for patients are within different percentile limits depending on age. Instead of using sacral ratio with some clinically decisive values, we think that parametric evaluation with the help of the percentile card will increase its clinical value.<\/jats:p>","DOI":"10.1055\/s-0041-1739424","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T23:51:47Z","timestamp":1638316307000},"page":"067-072","source":"Crossref","is-referenced-by-count":3,"title":["Development of Sacral Ratio Percentile Card for Children: A Preliminary Report"],"prefix":"10.1055","volume":"32","author":[{"given":"Kutay","family":"Bahadir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilgesu","family":"Arikan-Ergun","sequence":"additional","affiliation":[{"name":"Department of Radiology, Dr. Nafiz Korez Sincan State Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atilla Halil","family":"Elhan","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ergun","family":"Ergun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanju","family":"Aktug","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"issue":"09","key":"ref1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00383-015-3685-0","article-title":"Anorectal malformation: the etiological 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