Clinical characteristics and surgical treatment of congenital gluteal dermal sinus tract in children: a 15-year retrospective single-center clinical experience - Takeaways - MDSpire

Clinical characteristics and surgical treatment of congenital gluteal dermal sinus tract in children: a 15-year retrospective single-center clinical experience

  • By

  • Debao Li

  • Shan Zheng

  • Xianmin Xiao

  • Yangyang Ma

  • Qingchi Zhang

  • Chenbin Dong

  • Weijing He

  • Gong Chen

  • Chun Shen

  • Song Sun

  • May 8, 2026

  • 0 min

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  • 1

    The study analyzed 20 pediatric patients with congenital gluteal dermal sinus tracts over 15 years at the Children's Hospital of Fudan University.

  • 2

    The median age at symptom onset was 9.5 months, with initial symptoms including recurrent infections and gluteal depression.

  • 3

    MRI was positive in 87.5% of cases, while CT scans were positive in all, but only 50% identified the sinus tract.

  • 4

    All sinus tracts were surgically excised, with a recurrence rate of 10% requiring reoperation in two patients.

  • 5

    Congenital gluteal dermal sinus tracts are more common in females and often misdiagnosed, but prognosis is generally good after complete excision.

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