Role of Computed Tomography Imaging in Evaluation of Pediatric Congenital and Developmental Skeleton Disorder

Abstract

Introduction: Pediatric congenital and developmental disorders is common nowadays. That particularly occurs due to error in normal development of organ and tissue development. Genetic disorders affecting skeleton comprise a large group of clinically distinct and genetically heterogeneous condition. Clinical manifestations range from only mild growth retardation to lethality. Although these are rare, disorders of skeleton are of clinical relevance because of their overall frequency. Skeleton disorders have been subdivided into dysostosis, defined as malformation of bone or groups of bones and osteochondrodysplasia, developmental disorders of chondro-osseous tissue. CT (computed tomography) Scan have important role in diagnosis, specially 3D CT has added advantage in identifying bony architecture. Aim: To evaluate the role of CT imaging in diagnosis of pediatric skeleton disorders, that further helps in management of the disorders. CT imaging has advantage like easily available, fast, affordable compared to MRI. So, in most of skeleton disorders CT is diagnosis of choice, bony abnormality can be better evaluated. 3DCT has good bone architecture differentiation, that helps in further management. Materials and Methods: Five case reports of pediatric congenital and developmental skeleton disorders have been discussed. All the five patients underwent CT scan on Philips brilliance 256 slice machine. CT imaging findings with 3D Reconstruction have been described. Conclusion: CT imaging is most important modality for diagnosis as well as severity of skeleton disorders and that helps in further management of child and reduce or prevent disability.