Clinical and Radiographic Predictors of Scoliosis in Patients with Myelomeningocele

Trivedi, Jayesh; Thomson, Jeffrey D.; Slakey, Joseph B.; Banta, John V.; Jones, Peter W.

doi:10.2106/00004623-200208000-00015

Cited by 89 publications

(48 citation statements)

References 59 publications

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“…In a study done by Trivedi et al in Connecticut, USA it was found that the prevalence of scoliosis among myelomeningocele patients was as high as 80-90%. 18 In this study 10.6% of the school children who were delivered pre-term and 3.2% of those who were delivered at full term of pregnancy had positive scoliosis findings. It was found that the maturity of foetus during delivery had a highly significant (p <0.001) association with positive scoliosis findings with preterm infants at 3.6 times greater risk of scoliosis than full term ones (95% CI -1.34-9.89).…”

Section: Scoliometer Device and Scoliometer Appmentioning

confidence: 50%

A study on screening for scoliosis among school children in the age group of 10-14 using a cost effective and an innovative technique

Talasila

Gorantla

Thomas

2017

Int J Community Med Public Health

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Background: Scoliosis refers to a sideways curvature of the spine. Early detection of scoliosis prevents progress into severe scoliosis. In a resource constrained setting like India, there is a need for cost effective solutions for the purpose of screening. Objective of this study is to identify scoliosis among school children, determine risk factors associated with scoliosis and to compare the readings of the Scoliometer device to those obtained from Scoliometer smartphone app.Methods: The present cross sectional study was conducted in students aged 10-14 years studying in private schools of Hyderabad. All willing students (n=1000) were screened for scoliosis during June-August 2015. They were screened using physical examination (Adams forward bend test), Scoliometer device and Scoliometer App.Results: A total of 3.3% of the students had positive scoliosis findings when physically examined in standing position and 3.4% were positive for Adam’s forward bend test. Around 0.7% of students had a reading >7o when screened using the Scoliometer device and 1% had a reading >7o when screened using the App i.e. similar results were obtained. The risk factors associated with scoliosis found by this study includes prematurity of foetus during delivery and carrying school bag on one shoulder which had statistically significant association with positive scoliotic findings with O.R of 3.6 and 4.3 at 95% CI respectively.Conclusions: Scoliometer app can replace the expensive Scoliometer device for screening of scoliosis. This can be included in school health programmes.

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Section: Scoliometer Device and Scoliometer Appmentioning

confidence: 50%

A study on screening for scoliosis among school children in the age group of 10-14 using a cost effective and an innovative technique

Talasila

Gorantla

Thomas

2017

Int J Community Med Public Health

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“…Helpful definitions for the incidence and prevalence of scoliosis in children with myelomeningocele have been developed by Trivedi et al (29)(28). In their survey, a patient population with a Cobb angle of more than 20 degrees was determined as cases with scoliosis.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the spinal curvatures develop during early stages of life, while nearly 40% of them occur after age 9. A small proportion is seen after age 15 (29). Scoliosis in patients with myelomeningocele can develop secondary to congenital, idiopathic, or spinal dysraphism.…”

Section: Discussionmentioning

confidence: 99%

Statistical analysis of associated vertebra and costal anomalies in spina bifida patients

Alataş¹,

Canaz²,

Saraçoğlu³

et al. 2016

Romanian Neurosurgery

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Abstract:Objective: Spina bifida is one of the most severe birth defects and can happen as a result of disrupted primary neurulation. Congenital vertebra and costa anomalies are more frequently seen with spina bifida, and associated anomalies significantly affect the prognosis of affected children. In this study, we aimed to determine the incidence of scoliosis, costal anomalies, and vertebral deformations seen at the time of diagnosis and to statistically evaluate their concomitancies. Methods: Gender and mean ages of the patients were determined. The spina bifida patients were examined for deformation anomalies, butterfly vertebra, hemivertebra, wedge vertebra, costal anomalies and scoliosis. The relationships between these anomalies were evaluated. Results: 94 patients with a mean age of 11,5 months examined. The incidence of scoliosis was 21.8% among female infants and 17.9% among males. Rates of scoliosis with vertebra anomalies (hemivertebra, wedge vertebra) and costal anomalies did not differ significantly (P > 0.05). Wedge vertebra were the most frequent vertebra anomaly type with 38.2% ratio. Costal anomalies were detected in 25.5% of females and 20.5% of male infants. Hemivertebra and wedge vertebra were seen significantly more frequently in this group. Gender distribution did not differ between with and without any vertebra types. Conclusion: Congenital vertebra and costa anomalies are more frequently seen with spina bifida. We believe that these anomalies and relationship with spina bifida may demonstrate differences among different ethnic groups or locations. More detailed multi-centered studies performed on this issue will aid in the determination of etiologies, genetics, and treatment principles of these congenital anomalies.

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“…Hip problems restricting the ambulatory capacity of the patient mostly occur as a result of instability together with varying degrees of muscle contractures causing pelvic obliquity and scoliosis [17]. Pelvic ring muscles do not function properly in patients with upper-level lesions and thus reduction of the hip generally ends up with high failure rates in such patients.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Hip Instability in Patients With Lower Lumbar Level Myelomeningocele: Is Muscle Transfer Required?

Yıldırım

Gürsu

Bayhan

et al. 2015

Clin Orthop Relat Res

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Background Treatment of hip instability in patients with lower lumbar level myelomeningocele is clinically challenging. Muscle transfer procedures, release of contractures, and intertrochanteric varus-rotation osteotomies have been described to restore weak or absent abductor strength as well as relocation of the hip. However, controlled trials evaluating hip instability in lower lumbar myelomeningocele are limited in the current literature. Questions/purposes The purposes of this study were to compare the (1) radiographic evidence for joint stability; (2) clinical outcomes (including abductor strength, ambulatory ability, and residual use of orthoses); and (3) complications between patients undergoing combined periarticular contracture releases and bony procedures with and without external oblique abdominal muscle transfers. Methods Between 2004 and 2013, 14 pediatric patients (16 hips) were treated for hip instability secondary to myelomeningocele using releases with or without muscle transfer. From those, 13 patients (15 hips) with a mean age of 6 years who had L3 to L5 level involvement were evaluated retrospectively. The patients were separated into two groups. Nine hips (in eight patients) were treated by performing a combination of external oblique abdominal muscle transfer to the greater trochanter, periarticular release of contractures, and bony procedures. These were compared with six hips (five patients) treated by performing a combination of periarticular release of contractures and bony procedures without external oblique abdominal muscle transfer. This study compared the results between two surgeons, one of whom always performed these muscle transfers in this setting and the other who never performed muscle transfer during the study period. The patients were clinically followed up at a mean of 41 months (range, 14-122 months); none of the patients was lost to followup. Radiographic evaluation criteria included Reimer's migration index, acetabular index, femoral neck-shaft angle, pelvic obliquity, and the presence of scoliosis. Clinical evaluation included muscle strength examination, periarticular contractures, necessity for using orthoses as walking aids, and Hoffer criteria of mobility. All complications were also noted from a chart review. Results There were no differences between the two groups regarding postoperative femoral head localization, reflecting the presence or absence of residual subluxation, according to Reimer's index (Reimer's index = 32%; range, 10%-40%, in the muscle transfer group compared Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each au...

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Clinical and Radiographic Predictors of Scoliosis in Patients with Myelomeningocele

Cited by 89 publications

References 59 publications

A study on screening for scoliosis among school children in the age group of 10-14 using a cost effective and an innovative technique

A study on screening for scoliosis among school children in the age group of 10-14 using a cost effective and an innovative technique

Statistical analysis of associated vertebra and costal anomalies in spina bifida patients

Surgical Treatment of Hip Instability in Patients With Lower Lumbar Level Myelomeningocele: Is Muscle Transfer Required?

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