{"id":1510,"date":"2019-07-05T21:35:37","date_gmt":"2019-07-05T19:35:37","guid":{"rendered":"http:\/\/gyneobs.com\/site\/?page_id=1510"},"modified":"2019-07-05T21:35:38","modified_gmt":"2019-07-05T19:35:38","slug":"le-rachis-foetal-normal","status":"publish","type":"page","link":"http:\/\/gyneobs.com\/site\/obstetrique\/echographies-du-foetus-normal\/le-rachis-foetal-normal\/","title":{"rendered":"Le rachis foetal normal"},"content":{"rendered":"\n<p>Par la gravit\u00e9 de son pronostic, et les implications m\u00e9dico-l\u00e9gales d\u2019une erreur de diagnostic, le spina-bifida est la pr\u00e9occupation majeure de tout \u00e9chographiste lors de l\u2019examen du rachis foetal. Dans de bonnes conditions, avec un dos f\u0153tal ant\u00e9rieur, un balayage sagittal permet de lever le doute en quelques secondes d\u2019examen. Dans les autres cas, il faut mobiliser le f\u0153tus, parfois recourir \u00e0 la voie vaginale, et surtout rechercher les signes indirects au niveau c\u00e9r\u00e9bral et en fosse post\u00e9rieure.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"529\" height=\"439\" src=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-248.png\" alt=\"\" class=\"wp-image-1511\" srcset=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-248.png 529w, http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-248-300x249.png 300w\" sizes=\"auto, (max-width: 529px) 100vw, 529px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"528\" height=\"414\" src=\"https:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-249.png\" alt=\"\" class=\"wp-image-1512\" srcset=\"http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-249.png 528w, http:\/\/gyneobs.com\/site\/wp-content\/uploads\/2019\/07\/image-249-300x235.png 300w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\" \/><\/figure>\n\n\n\n<p>Les rep\u00e8res du d\u00e9pistage sont:<\/p>\n\n\n\n<p>&nbsp; &nbsp; -l\u2019existence d\u2019un rev\u00eatement cutan\u00e9 continu et lisse;<\/p>\n\n\n\n<p>&nbsp; &nbsp; -l\u2019 alignement des lames lat\u00e9rales en coupe parasagittale, sans manque ni angulation;<\/p>\n\n\n\n<p>&nbsp; &nbsp; -et la convergence des lames lat\u00e9rales en coupe transversale.<\/p>\n\n\n\n<p>&nbsp; &nbsp; -Mais la normalit\u00e9 du contour cranien, du cervelet et de la fosse post\u00e9rieur sont un \u00e9l\u00e9ment essentiel pour \u00e9liminer un spina bifida.<\/p>\n\n\n\n<p>Les coupes \u00e9chographiques recommand\u00e9es sont:<\/p>\n\n\n\n<p>&nbsp; &nbsp; -1 coupe sagittale du rachis thoraco-lombaire;<\/p>\n\n\n\n<p>&nbsp; &nbsp; -et double image rachis +&nbsp;fosse post\u00e9rieure.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Par la gravit\u00e9 de son pronostic, et les implications m\u00e9dico-l\u00e9gales d\u2019une erreur de diagnostic, le spina-bifida est la pr\u00e9occupation majeure de tout \u00e9chographiste lors de l\u2019examen du rachis foetal. Dans de bonnes conditions, avec un dos f\u0153tal ant\u00e9rieur, un balayage sagittal permet de lever le doute en quelques secondes d\u2019examen. Dans les autres cas, il [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1227,"menu_order":5,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-1510","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1510","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/comments?post=1510"}],"version-history":[{"count":1,"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1510\/revisions"}],"predecessor-version":[{"id":1513,"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1510\/revisions\/1513"}],"up":[{"embeddable":true,"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/pages\/1227"}],"wp:attachment":[{"href":"http:\/\/gyneobs.com\/site\/wp-json\/wp\/v2\/media?parent=1510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}