Abstract
The frequency of spinal and costal anomalies in infants with congenital esophageal atresia is demonstrated in 20 cases. Abnormal numbers of vertebral bodies in the thoracic and lumbar spine were found in 50% of the patients. The maximum number of thoraco-lumbar vertebrae was 19. Malformations of the vertebral bodies were frequent (35%). 13 pairs of ribs were found in 25% of the cases. Because these anomalies are easily recognized in radiographs they can provide additional hints in suspected esophageal atresia.
Zusammenfassung
Die Häufigkeit von Wirbelsäulen-und Rippenanomalien bei Kindern mit Ösophagusatresie wird an 20 Fällen demonstriert. Eine abnorme Zahl von Wirbelkörpern der thorakalen und lumbalen Wirbelsäule fand sich bei 50% der Patienten. Die höchste Zahl thorakolumbaler Wirbel war 19. Fehlbildungen der Wirbelkörper waren häufig (35%). 13 Rippenpaare fanden sich bei 25% der Fälle. Weil diese Anomalien im Röntgenbild leicht zu erkennen sind, können sie als zusätzliche Hinweiszeichen bei Verdacht auf Ösophagusatresie dienen.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Blechschmidt, E.: Die vorgeburtlichen Entwicklungsstadien des Menschen. Basel-New York: Karger 1961
Caffey, J.: Pediatric X-ray diagnosis. 6th ed., Vol. 2. London 1973
Fluss, Z., Poppen, K. J.: Embryogenesis of tracheoesophageal fistula and esophageal atresia. Arch. Path. 52, 168 (1951)
Hodson, C. J., Shaw, D. G.: Congenital atresia of the oesophagus and thirteen pairs of ribs. Pediat. Radiol. 1, 248 (1973)
Holder, T. M., Cloud, D. T., Lewis, J. E. Jr., Pilling, G. P. IV: Esophageal atresia and tracheoesophageal fistula. Pediatrics 34, 542 (1964)
Ingalls, T. H., Prindle, R. A.: Esophageal atresia with tracheoesophageal fistula. Epidemiologie and teratologic implications. New Engl. J. Med. 240, 987 (1949)
Kreuter, E.: Die angeborenen Verschließungen und Verengerungen des Darmkanals im Lichte der Entwicklungsgeschichte. Dtsch. Z. Chir. 79, 1 (1905)
Langman, J.: Oesophageal atresia accompanied by a remarkable vessel anomaly. Arch. chir. neer. 4, 39 (1952)
Rosenthal, A. H.: Congenital atresia of the esophagus with tracheoesophageal fistula. Report of eight cases. Arch. Path. 12, 756 (1931)
Say, B., Balci, S., Pirnar, T., Tunsbilek, E.: A new syndrome of dysmorphogenesis: Imperforate-anus associated with polyoligodactyly and skeletal (mainly vertebral) anomalies. Acta paediat. scand. 69, 197 (1971)
Schmorl, G., Junghanns, H.: The human spine in health and disease. ed. 2. New York: Grune and Stratton 1971
Smith, E. J.: The early development of the trachea and esophagus in relation to atresia of the esophagus and tracheoesophageal fistula. Carnegie Institution of Washington Contributions to Embryologie No. 245, 43 (1957)
Stevenson, R. E.: Extra vertebrae associated with esophageal atresias and tracheoesophageal fistulas. J. Pediat. 81, 1123 (1972)
Vogt, E. C.: Congenital esophageal atresia. Amer. J. Roentgenol. 22, 463 (1929)
Willis, R. A.: The borderland of embryology and pathology. London: Butterworth 1958
Winter, R. B., Moe, J. H., Eilers, V. E.: Congenital scoliosis: A study of 234 patients, treated and untreated. J. Bone Jt Surg. 50-A, 1 (1968)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Janssen, F., Kemperdick, H. Spinal and costal abnormalities in congenital atresia of the esophagus. Z. Kinder-Heilk. 117, 275–280 (1974). https://doi.org/10.1007/BF00440494
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00440494