What is the meaning of foetal lumbar spine not well delineated due to positional variation?
Answers
Answer:
Hey mate...
Explanation:
The last two decades have seen continuous advances in prenatal ultrasonography and in utero magnetic resonance imaging. These technologies have increasingly enabled the identification of various spinal pathologies during early stages of gestation. The purpose of this paper is to review the range of fetal spine anomalies and their management, with the goal of improving the clinician’s ability to counsel expectant parents prenatally.
The availability of detailed information about skeletal and visceral anomalies allows more accurate fetal diagnosis but also renders the job of the counseling clinicians more complex. Because so many skeletal anomalies are associated with either other anomalies or genetic syndromes, prenatal counseling requires a “team” of appropriate specialists. Armed with prenatal imaging, counseling clinicians are obligated not just to give the family their best estimate of a diagnosis, but also to put the fetus’s condition into perspective and attempt to provide some over-arching outlook for the family. This may require coordination and cross-communication among specialists from multiple surgical and medical disciplines. Faced with a fetal spine anomaly, the clinician should critically assess the accuracy of the diagnosis, the likely natural history of the deformity, what treatments are likely, and what the impact of the anomaly will be on the child’s growth and eventual adult functioning. This estimate will be easy for an isolated hemivertebra but becomes more complex for multiple vertebral anomalies, spinal dysraphism, myelodysplasia or segmental spinal dysgenesis. Experience with the accuracy of previous prenatal diagnoses makes a more accurate prognosis possible. Co-consultation with other medical or surgical specialists is critical when more than one organ system is involved.