The value of indicators of the harmony of the development of the sacrococcygeal spine in children with disorders of the function of the pelvic organs
DOI:
https://doi.org/10.15574/PS.2025.1(86).94104Keywords:
children, congenital malformations, vesicoureteral reflux, chronic constipation, sacral index, sacral curvature, diagnosis, treatmentAbstract
Disorders of the function of the pelvic organs in the pediatric population in the form of chronic constipation, a frequent disorder of the gastro-intestinal tract, common throughout the world. Up to 1/3 of children aged 6 to 12 years testify to the presence of chronic constipation. The normal functioning of the bladder directly depends on its innervation, including the sacral parasympathetic center, so any developmental anomaly or dysplasia of the sacral spine can be accompanied by its dysfunction, one of the manifestations of which can be vesicoureteral reflux.
Аim - to evaluate the value of the sacral index in the norm and in pediatric patients suffering from chronic defecation disorders of various genesis and vesicoureteral reflux, to determine the prognostic value and frequency of sacral dysplasia depending on the pathology.
Materials and methods. The study was designed according to the "case-control" scheme. The survey included 338 patients aged 3 to 14 years who were undergoing inpatient examination and treatment in the conditions of the Vinnytsia Regional Pediatric Clinical Hospital during 2020-2024. Micturition cystography, by taking pictures in direct and lateral projections. No pathology was detected in 40 children, which allowed them to be classified as normal. In 265 patients, radiological signs of organic genesis were determined (dolichosigma, dolichocolon, megacolon, etc.) vesicoureteral reflux of degrees I - II - III was found among 33 examined.
Results. The main method of assessing the harmony of the structure of the sacral department was and remains a physical examination and hardware radiographic methods of visualization of anatomical structures, however, the calculated indices of the development of the sacrococcygeal spine can be used as an additional diagnostic and prognostic criterion for the course of the pathology of the pelvic organs, as well as as a prognostic factor in determination of drug treatment and selection of children for operative correction of pathology.
Conclusions. Recognizing the consequences of traumatic damage to the coccyx and its possible type of physiological variant of the structure, which is important in the overall assessment of the development of the sacrococcygeal spine, must be carried out before each calculation of the sacral curvature in an individual order.
The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patients was obtained for the study.
The authors declare no conflict of interest.
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