{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:03:34Z","timestamp":1791241414509,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,2,16]],"date-time":"2012-02-16T00:00:00Z","timestamp":1329350400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Lower spinal dysraphism is frequently reported in anorectal anomaly combined with urogenital anomalies. The prevalence of the spinal dysraphism has not been comprehensively studied in children with simple urogenital anomalies. We evaluated the prevalence of the spinal dysraphism using ultrasound data of the lumbosacral area in children with urogenital anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Lumbosacral ultrasound images of 259 children who underwent urological surgery with simple urogenital anomalies were reviewed by an ultrasound\u2010specialized radiologist. The primary outcome measures were the conus medullaris (<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content>) level and the thickness of the filum terminale. The spinal ultrasonographic findings that were assessed in children showed abnormal spinal findings compared with the other children having normal findings. Two years later, the follow\u2010up telephone interviews were made with the parents of the children with abnormal findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen children were differentiated as the abnormal finding group. They were suspected of spinal cord tethering. The level of <jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content> was lower, and the filum terminale was thicker compared to the normal group [<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>2<jats:sub>lower (L)<\/jats:sub> vs. <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>1<jats:sub>L<\/jats:sub>, 2.2\u2009mm vs. 0.8\u2009mm]. Of eighteen children, four were confirmed as tethered spinal cord with lipoma on magnetic resonance imaging by the time of surgery, and two were strongly suspected of occult spinal dysraphism (<jats:styled-content style=\"fixed-case\">OSD<\/jats:styled-content>) based on ultrasound findings and follow\u2010up interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">OSD<\/jats:styled-content> in children under 24 months of age with simple urogenital anomaly was higher than what was reported for the general population. Ultrasound examination of spinal structures before caudal block in children with urogenital anomaly should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1399-6576.2011.02612.x","type":"journal-article","created":{"date-parts":[[2012,2,16]],"date-time":"2012-02-16T14:57:57Z","timestamp":1329404277000},"page":"624-628","source":"Crossref","is-referenced-by-count":24,"title":["Ultrasonography reveals a high prevalence of lower spinal dysraphism in children with urogenital anomalies"],"prefix":"10.1111","volume":"56","author":[{"given":"B.\u2010N.","family":"KOO","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology &amp; Pain Medicine Anaesthesia and Pain Research Institute Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010Y.","family":"HONG","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine University of Ulsan College of Medicine, Asan Medical Center  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.\u2010T.","family":"SONG","sequence":"additional","affiliation":[{"name":"Department of Radiology Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. M.","family":"KIM","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology &amp; Pain Medicine Anaesthesia and Pain Research Institute Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. K.","family":"KIL","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology &amp; Pain Medicine Anaesthesia and Pain Research Institute Yonsei University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,2,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992289503401205"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.171.6.9843314"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2004.06.004"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000028891"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1007\/s00330-002-1655-0","article-title":"Ultrasound of the spinal cord in children: its role","volume":"13","author":"Dick EA","year":"2003","journal-title":"Eur Radiol"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.146.3.6338558"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2004.01521.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3181c5e03a"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2009.06043.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/FOC-07\/08\/E2"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B6.11814"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90607-2"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.10.094"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2009.06031.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67154-4"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.03.030"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000089503"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.152.5.1029"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02395752"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.152.4.843"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-963052"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.06.003"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2004.09.017"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.184.1.1609089"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1320520103"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1399-6576.2011.02612.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1399-6576.2011.02612.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T14:21:49Z","timestamp":1697379709000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1399-6576.2011.02612.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,16]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1111\/j.1399-6576.2011.02612.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1399-6576.2011.02612.x","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,16]]}}}