PMID: 3773100Dec 1, 1986Paper

The abnormal renal axis in children with spina bifida and gibbus deformity--the pseudohorseshoe kidney

The Journal of Urology
S K Fernbach, T M Davis

Abstract

The axes of the kidneys in children with a thoracolumbar gibbus deformity may be distorted to simulate a horseshoe kidney. Measurements of the angle of the gibbus and the angle of intersection of the renal axes were made in 68 children with thoracolumbar meningomyelocele. Thirty-eight children with a gibbus deformity and thoracolumbar meningomyelocele had an abnormality of the renal axis on supine urography, including 19 (28 per cent) in whom a horseshoe kidney was suggested. Three additional children with a gibbus deformity and thoracolumbar meningomyelocele had a normal renal axis. Regression analysis of these data indicated a linear relationship between the angle of the gibbus and the amount of deviation of the renal axis for the values studied. Nuclear scintigraphy, ultrasound studies and clinical records were reviewed in all 41 children with a gibbus deformity. In none were the kidneys fused. There were 21 children with thoracolumbar myelomeningocele who had no gibbus deformity and a normal renal axis. Six other children will be described in detail, 2 of whom were excluded because of severe scoliosis and 4 with congenital renal anomalies.

References

Mar 1, 1983·AJR. American Journal of Roentgenology·D KarasickR Brennan
Jul 1, 1952·The Journal of Urology·V J LONGO, G J THOMPSON

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Citations

Nov 2, 2013·Surgical and Radiologic Anatomy : SRA·Konstantinos NatsisPanagiotis Skandalakis
Jan 1, 1994·Pediatric Radiology·J M Zerin, C E Blane
May 15, 2008·Journal of Medical Imaging and Radiation Oncology·J O'BrienW Torreggiani
Nov 9, 2011·Clinical Nuclear Medicine·Kianoush Ansari-GilaniJamak Modaresi Esfeh

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