View Full Version : Kidney Problems

08-02-2010, 10:40 AM
In October 2008 we found out that our now 12 year old son has Congential Scoliosis. In Feb 2009 we then found out that he has a heart condition which was corrected in Oct 2009. We are getting his back looked at in the next few weeks.

My question is what should I now be doing to confirm that his kidneys are alright?

Dr Scoliosis
14-02-2010, 07:58 PM

There is an important association between congenital vertebral abnormalities (congenital scoliosis) and congenital abnormalities in the urogenital system, of which the kidneys are part. The vertebrae and the kidneys are formed at the same time in the embryo. It is now standard for spinal surgeons to include a renal ultrasound as part of the routine assessment of a patient with congenital scoliosis. Work on these problems has been conducted in Australia as summarised in the following abstract. We trust this information is helpful.

Congenital abnormalities of the urogenital tract
in association with congenital vertebral malformations.

J Bone Joint Surg [Br] 2002;84-B:891-5.

There is a close link between the embryological
development of the musculoskeletal system and all
other main organ systems. We report a prospective
series of 202 patients with congenital vertebral
abnormalities and document the associated
abnormalities in other systems. There were 100 boys
and 102 girls. In 153 there were 460 associated
abnormalities, a mean of 2.27 abnormalities for each
patient. Intravenous pyelography was carried out on
173 patients (85.6%) and ultrasonography on the
remaining 29 (14.4%). Patients with genitourinary
anomalies were more likely to have musculoskeletal
(p = 0.002), gastrointestinal (p = 0.02) and cardiac
abnormalities (p = 0.008) than those without
genitourinary involvement. A total of 54 (26.7%) had
at least one genitourinary abnormality, the most
frequent being unilateral renal agenesis. There was
urinary obstruction in six (3%). There was no
association between genitourinary abnormality and the
place of birth, parental age, birth order, level of spinal
curvature, or the number, type and side of spinal
anomaly. There was, however, a statistically significant
association (p = 0.04) between costal and genitourinary
abnormalities. The incidence of genitourinary
abnormalities (26.7%) was similar to that of
previously reported series. The diagnosis of a
congenital vertebral abnormality should alert the
clinician to a wide spectrum of possible associated
anomalies most of which are of clinical importance.

16-02-2010, 11:39 AM
Thanks for your response and article. This knowledge will come in handy when we visit the surgeon tomorrow.