Impact of the flexibility of the spinal deformity on low back pain and disc degeneration in adult patients nonoperatively treated for adolescent idiopathic scoliosis with thoracolumbar or lumbar curves

Ohashi, Masayuki; Watanabe, Kei; Hirano, Tôru; Hara, Kazuhiro; Katsumi, Keiichi; Tashi, Hideki; Shibuya, Yohei; Kawashima, Hiroyuki

doi:10.1007/s43390-021-00402-7

Cited by 6 publications

(2 citation statements)

References 20 publications

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“…Это определили, в том числе и с помощью МРТ [122][123][124]. Кроме того, большая подвижность в поясничном отделе коррелирует с меньшей дегенерацией структур позвоночника и болью в пояснице, поэтому сохранение или улучшение поясничной гибкости может быть полезным для предотвращения или лечения боли в пояснице при ИС [125].…”

Section: мрт как альтернатива рентгенографии и ктunclassified

The use of MRI in the study of patients with idiopathic scoliosis: a systematic review of the literature

et al. 2022

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Objective. To analyze the frequency of hidden neuraxial pathology in idiopathic scoliosis (IS), to substantiate the need for MRI in IS and to identify promising areas for the use of MRI in the examination of patients with IS.Material and Methods. The literature review was carried out using the PubMed and Google Scholar databases. Of the 780 papers on the research topic, 65 were selected after removing duplicates and checking for inclusion/exclusion criteria. As a result, 49 original studies were included in the analysis. Level of evidence – II.Results. According to modern literature, the main direction of using MRI in idiopathic scoliosis is the search for predictors of latent pathology of the spinal cord and craniovertebral junction. The frequency of neuraxial pathology in idiopathic scoliosis is 8 % for adolescent IS and 16 % for early IS. The main predictors of neuraxial pathology are male sex, early age of deformity onset, left-sided thoracic curve and thoracic hyperkyphosis. MRI in IS may be a useful addition to radiological diagnostic methods to identify risk factors and to study degenerative changes in the spine.Conclusion. MRI of the spine should be performed in the early stages of IS to detect latent spinal cord tethering. In type I Chiari anomalies, there is a possibility that early neurosurgery can prevent the development of scoliosis. The main signs of latent neuraxial pathology in IS are early progression of spinal deformity, left-sided thoracic curve, male gender and thoracic kyphosis over 40° according to Cobb.MRI can be used as an effective non-invasive tool in research aimed at identifying risk factors for IS, including helping to track early degeneration of intervertebral discs.

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Section: мрт как альтернатива рентгенографии и ктunclassified

The use of MRI in the study of patients with idiopathic scoliosis: a systematic review of the literature

et al. 2022

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“…2 However, this surgery may lead to Adjacent Segment Degeneration (ASD), a potential long-term complication. 7 After surgical intervention, the evidence of disc deterioration in segments adjacent to the surgically treated disc, shown in radiography, is defined as Adjacent Segment Degeneration (ASD), one of the potential long-term complications. 8,9 The occurrence of ASD may result from abnormal intradiscal pressure and excessive movement in adjacent segments or may be a natural aging process not associated with surgery.…”

Section: Introductionmentioning

confidence: 99%

Half of the adolescent idiopathic scoliosis patients may have lumbar adjacent segment degeneration following spinal fusion: A systemic review and meta-analysis

Liu,

Wang

2024

J Orthop Surg (Hong Kong)

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Objective This study aims to assess the impact of surgical approaches and other factors on the incidence of Adjacent Segment Degeneration (ASD) following Spinal Fusion for Adolescent Idiopathic Scoliosis (AIS). Methods We conducted a comprehensive search of four electronic databases from their inception until March 30, 2023. Two independent reviewers screened titles, abstracts, and full texts and evaluated the methodological quality of the studies. A random-effects model was used to calculate the incidence of ASD. Results Our analysis included 14 studies involving 651 individuals. The overall incidence of ASD was 47% (95%CI: 0.37, 0.56). Subgroup analyses revealed that the prevalence of ASD increased with postoperative time (53% (95%CI: 0.31, 0.75) versus 48% (95%CI: 0.36, 0.60) versus 39% (95%CI: 0.22, 0.56)). For the number of fused segments, a group with more than 10 segments had a higher prevalence (49% (95%CI: 0.38, 0.60) versus 44% (95%CI: 0.21, 0.69)). In terms of regions, East Asia had the highest prevalence, followed by Occident and West Asia (52% (95%CI: 0.41, 0.62) versus 43% (95%CI: 0.20, 0.68) versus 37% (95%CI: 0.17, 0.59)). However, the surgical approach, male ratio, and the position of the lowest instrumented vertebra (LIV) did not show significant differences between groups. Funnel plots and Egger’s test did not reveal any significant publication bias (Egger’s test: t = 1.62, p-value = .1274). Conclusion This meta-analysis found that nearly half of AIS patients following spinal fusion surgery experienced ASD. Long-term follow-up, regular screening, and timely interventions are essential to reduce the prevalence of ASD.

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Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves

et al. 2023

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Impact of the flexibility of the spinal deformity on low back pain and disc degeneration in adult patients nonoperatively treated for adolescent idiopathic scoliosis with thoracolumbar or lumbar curves

Cited by 6 publications

References 20 publications

The use of MRI in the study of patients with idiopathic scoliosis: a systematic review of the literature

The use of MRI in the study of patients with idiopathic scoliosis: a systematic review of the literature

Half of the adolescent idiopathic scoliosis patients may have lumbar adjacent segment degeneration following spinal fusion: A systemic review and meta-analysis

Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves

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