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Are intraspinal anomalies in early onset idiopathic scoliosis as common as once thought? A two centre United Kingdom study.

Abstract

PURPOSE

Rates of neural axis abnormalities in infantile and juvenile idiopathic scoliosis may be as high as 50 %. We aimed to determine the rates of neural axis abnormalities in early onset idiopathic scoliosis patients in a British population.

METHODS

This retrospective study at two British spinal deformity clinics identified 72 patients satisfying the inclusion criteria of: (1) age at diagnosis of 7 years and younger, (2) idiopathic scoliosis and (3) magnetic resonance imaging of the neuraxis.

RESULTS

The mean age at diagnosis was 3.6 years and the mean Cobb angle was 47° with a near equal distribution of left (32) and right (36) sided curves. Eight (11.1 %) neural axis abnormalities consisting of two syrinxes, one Arnold-chiari Type I malformation and five combined (Arnold-chiari malformation Type I and syrinx) anomalies were identified.

CONCLUSIONS

This multi-centre study on the largest number of British subjects to date helps to establish the rates of neural axis abnormalities.

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  • Authors+Show Affiliations

    ,

    Spine Surgery, Guy's Hospital, Great Maze Pond, London, SE3 7NU, UK. togay.koc@doctors.org.uk

    ,

    Source

    MeSH

    Arnold-Chiari Malformation
    Child
    Child, Preschool
    Female
    Humans
    Infant
    Infant, Newborn
    Magnetic Resonance Imaging
    Male
    Retrospective Studies
    Scoliosis
    Spine
    Syringomyelia
    United Kingdom

    Pub Type(s)

    Journal Article
    Multicenter Study

    Language

    eng

    PubMed ID

    23223957

    Citation

    TY - JOUR T1 - Are intraspinal anomalies in early onset idiopathic scoliosis as common as once thought? A two centre United Kingdom study. AU - Koç,Togay, AU - Lam,Khai S, AU - Webb,John K, Y1 - 2012/12/06/ PY - 2012/02/21/received PY - 2012/11/18/accepted PY - 2012/11/12/revised PY - 2012/12/11/entrez PY - 2012/12/12/pubmed PY - 2014/1/8/medline SP - 1250 EP - 4 JF - European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society JO - Eur Spine J VL - 22 IS - 6 N2 - PURPOSE: Rates of neural axis abnormalities in infantile and juvenile idiopathic scoliosis may be as high as 50 %. We aimed to determine the rates of neural axis abnormalities in early onset idiopathic scoliosis patients in a British population. METHODS: This retrospective study at two British spinal deformity clinics identified 72 patients satisfying the inclusion criteria of: (1) age at diagnosis of 7 years and younger, (2) idiopathic scoliosis and (3) magnetic resonance imaging of the neuraxis. RESULTS: The mean age at diagnosis was 3.6 years and the mean Cobb angle was 47° with a near equal distribution of left (32) and right (36) sided curves. Eight (11.1 %) neural axis abnormalities consisting of two syrinxes, one Arnold-chiari Type I malformation and five combined (Arnold-chiari malformation Type I and syrinx) anomalies were identified. CONCLUSIONS: This multi-centre study on the largest number of British subjects to date helps to establish the rates of neural axis abnormalities. SN - 1432-0932 UR - https://www.unboundmedicine.com/medline/citation/23223957/Are_intraspinal_anomalies_in_early_onset_idiopathic_scoliosis_as_common_as_once_thought_A_two_centre_United_Kingdom_study_ L2 - https://dx.doi.org/10.1007/s00586-012-2599-y ER -