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06 July 2018 : Clinical Research  

Evaluation of Renal Function in Children with Congenital Scoliosis and Congenital Anomalies of the Kidney and Urinary Tract

Zhengchao Gao1ACDEF, Zhengmou Wang2CDEF, Jiantao Liu3BDF, Binbin Niu3BC, Wenlong Yang3BC, Yibin Wang3BF, Hui Liang3BC, Yuhuan Li3EF, Haopeng Li3EG, Xijing He3AEG

DOI: 10.12659/MSM.908839

Med Sci Monit 2018; 24: CLR4667-4678

Abstract

BACKGROUND: The aim of this study was to compare renal function in children with congenital scoliosis and congenital anomalies of the kidney and urinary tract, with healthy children.

MATERIAL AND METHODS: Biochemical tests were performed before surgery (pre-therapy) and after surgery (post-therapy) in 16 children with congenital scoliosis and congenital anomalies of the kidney and urinary tract. Thirty-two healthy children were matched for age, sex, and weight (healthy controls). General renal function tests included serum electrolytes, creatinine, urea, cystatin C, and estimated glomerular filtration rate (eGFR). Tests for early renal changes included N-acetyl-beta-D-glucosaminidase (NAG), urine microalbumin, serum transferrin, immunoglobulin G (IgG), urinary alpha-1-microglobulin (A1M), and beta-2-microglobulin (B2M).

RESULTS: Sixteen patients with congenital anomalies of the kidney and urinary tract included eight boys (mean age, 11.38±2.00 years) and eight girls (mean age, 11.00±2.78 years). There were no significant differences in renal function between the pre-therapy and post-therapy groups (P>0.05), or between the three groups (pre-therapy, post-therapy, and healthy controls). In the pre-therapy group, there were significant differences in IgG, A1M, NAG, and serum phosphate levels between boys and girls, urine microalbumin was significantly increased in girls, but not boys (P<0.05). There were no significant differences between the pre-therapy group and post-therapy group (P>0.05).

CONCLUSIONS: Routine tests of renal function were normal in children with congenital scoliosis and congenital anomalies of the kidney and urinary tract, but early changes in renal function occurred before surgical treatment, indicating long-term follow-up of renal function is recommended.

Keywords: Kidney Function Tests, Pediatrics, Scoliosis, Urogenital Abnormalities

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750