Prospective study of spinal anomalies in children with infantile hemangiomas of the lumbosacral skin.

摘要: Objective To prospectively evaluate a cohort of patients with infantile hemangioma in the midline lumbosacral region for spinal anomalies to determine positive predictive value occult and make evidence-based recommendations screening. Study design A multicenter prospective study was performed at 9 Hemangioma Investigator Group sites. Results Intraspinal abnormalities were detected 21 41 participants who underwent magnetic resonance imaging evaluation. The relative risk all hemangiomas 640 (95% confidence interval [CI], 404-954), dysraphism 51.2%. Ulceration associated higher having anomalies. presence additional cutaneous also likelihood finding anomalies; however, 35% infants isolated had anomalies, 438 CI, 188-846). sensitivity ultrasound scanning detect this high-risk group poor 50% 18.7%-81.3%), specificity rate 77.8% 40%-97.2%). Conclusions Infants children are increased Screening is recommended these lesions.