Magnetic Resonance Imaging in Infantile Idiopathic Scoliosis: Is Universal Screening Necessary?

Kouri, Anthony; Herron, Joseph S.; Lempert, Nathaniel; Oliver, Mark; Hubbard, Elizabeth W.; Talwalkar, Vish R.; Muchow, Ryan D.; Iwinski, Henry J.

doi:10.1016/j.jspd.2018.04.007

Cited by 4 publications

(1 citation statement)

References 22 publications

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“…In some cases, they can cause scoliosis without initially visible neurological deficiency. [2][3][4][5][6][7][8][9][10][11] Scoliosis can be caused by spinal cord pathology and can be considered neuromuscular. Scoliosis cannot be considered idiopathic in cases of asymptomatic light cerebellar tonsil ectopia, soft syringomyelia, enlarged central spinal canal, or filum terminal lipoma with a normal conus medullaris position.…”

Section: Introductionmentioning

confidence: 99%

Hidden Neuraxial Pathology in Idiopathic Scoliosis: Original Research

Sergeenko,

Savin,

Pozdeyeva

et al. 2024

Coluna/Columna

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Objective: To evaluate the prevalence of hidden neuraxial pathology (NAP) revealed in idiopathic scoliosis (IS) in neurologically normal patients. Methods: We selected 401 patients with IS who visited our clinic. We identified patterns of NAP and its frequency. In addition to the main part of the study, we assessed the reliability of Magnetic Resonance Imaging (MRI) measuring of the pedicles to plan screw width and trajectory. Results: Among the 401 patients, 53 (13%) presented NAP. The proportion of males in this group was higher (42% vs. 21%, p=0.004), the age of onset of the deformity was lower (8.9±3.77 vs. 9.9±3.93 years old, p=0.045), the left-sided thoracic curve was more frequent (21% vs. 8%, p=0.016), thoracic kyphosis was more pronounced (p=0.070), and the percentage of revision surgeries for deformity progression or non-fusion was higher (13% vs. 5%, p=0.147). Conclusions: The spine MRI should be performed in the early stages of IS, as in some cases of NAP (Chiari, tethered spinal cord), there is the possibility of an early neurosurgical operation that will prevent the development of scoliosis. The main signs of hidden NAP in IS are early-onset IS, IS with left-sided thoracic curve, male gender, and thoracic kyphosis > 40°Cobb. Level of Evidence II; Retrospective Study.

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Section: Introductionmentioning

confidence: 99%

Hidden Neuraxial Pathology in Idiopathic Scoliosis: Original Research

Sergeenko,

Savin,

Pozdeyeva

et al. 2024

Coluna/Columna

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MRI utilization and rates of abnormal pretreatment MRI findings in early-onset scoliosis: review of a global cohort

et al. 2020

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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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Magnetic Resonance Imaging in Infantile Idiopathic Scoliosis: Is Universal Screening Necessary?

Cited by 4 publications

References 22 publications

Hidden Neuraxial Pathology in Idiopathic Scoliosis: Original Research

Hidden Neuraxial Pathology in Idiopathic Scoliosis: Original Research

MRI utilization and rates of abnormal pretreatment MRI findings in early-onset scoliosis: review of a global cohort

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

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