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

作者：Koc Togay^*; Lam Khai S; Webb John K

来源：European Spine Journal, 2013, 22(6): 1250-1254.

DOI：10.1007/s00586-012-2599-y

• Early onset idiopathic scoliosis
• Intraspinal anomalies
• UK

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.
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.
The mean age at diagnosis was 3.6 years and the mean Cobb angle was 47A degrees 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.
This multi-centre study on the largest number of British subjects to date helps to establish the rates of neural axis abnormalities.

• 出版日期2013-6