Markers of Hemodynamic Disorders in Children With Severe Dysplastic Deformities of the Spine and Thorax

Abstract

A clinical and ultrasound examination of 126 children aged 11-16 years was carried out: 60 conditionally healthy children without structural deformations of the spine and thorax; 42 patients with dysplastic deformity of the spine and thorax, degree I-III; 24 patients with spinal and thoracal deformities of the fourth degree. For diagnosis, orthopedic and ultrasound methods were used. A significant increase in the incidence and severity of dilation of the hepatic veins in children with scoliotic deformities of the spine and chest was established. These indices were significantly elevated in children with severe deformities compared with patients with deformations of the I-III degree, these parameters being associated with the severity of the deformation of the spine and thorax. In children with severe deformities of the spine and thorax, dilation of the vena cava inferior was detected, accompanied by the dilation of the hepatic veins and associated with the severity of deformations of the spine and chest, both in the prevalence and the pronouncement of this symptom. The data obtained indicate the possibility of using dilation of the hepatic veins as one of the clinical markers for the early diagnosis of hemodynamic disorders associated with a scoliotic disease, which will allow primary health care doctors timely deciding on the need for orthopedic correction of spinal deformity to prevent the progression of scoliotic disease in children.