Table 2:

School-age posterior fossa and spine imaging findings in children who underwent prenatal-versus-postnatal surgery

ImagingPrenatal Surgery n/N (%)Postnatal Surgery n/N (%)RR (95% CI)P Value
Fourth ventricle location<.001
 Normal19/66 (29)6/63 (10)
 Low42/66 (64)35/63 (56)
 At foramen magnum3/66 (5)10/63 (16)
 Below foramen magnum2/66 (3)12/63 (19)
Tectal beaking53/66 (80)61/63 (97)0.83 (0.73–0.94).003
Hindbrain herniation<.001
 None26/66 (39)8/62 (13)
 Mild23/66 (35)12/62 (19)
 Moderate15/66 (23)26/62 (40)
 Severe2/66 (3)17/62 (27)
Cerebellar herniation degree<.001
 None33/66 (50)8/63 (13)
 Mild22/66 (33)21/63 (33)
 Moderate11/66 (17)20/63 (32)
 Severe014/63 (22)
Cerebellar hypoplasia4/66 (6)9/63 (14)0.42 (0.14–1.31).12
Brainstem hypoplasia8/66 (12)19/63 (30)0.40 (0.19–0.85).01
Brainstem distortion33/66 (50)52/63 (83)0.61 (0.46–0.79)<.001
Brainstem kinking<.001
 None53/66 (80)31/63 (49)
 Mild11/66 (17)20/63 (32)
 Moderate2/66 (3)11/63 (17)
 Severe01/63 (2)
Syringomyelia37/63 (59)48/59 (81)0.7 (0.6–0.9).007
Epidermoid cyst7/63 (11)2/58 (3)3.2 (0.7–14.9).17
  • Note:—RR indicates relative risk.