Idiopathic scoliosis as a multifactorial disease: systematic review of current literature

Sergeenko, Olga M; Щурова, Е. Н.

doi:10.14531/ss2022.2.19-32

Cited by 3 publications

References 145 publications

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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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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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Incidence of the musculoskeletal system diseases in children and the organization of specialized care in Saint Petersburg

Baindurashvili,

Vissarionov,

Zaletina

et al. 2024

Pediatr Traum Orthop Reconstr Surg

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BACKGROUND: The high prevalence of musculoskeletal system and connective tissue diseases, effects on the quality of life of children, and disability level are among the main medical and social problems. AIM: To assess the morbidity rates and provision of medical care to St. Petersburg children with musculoskeletal diseases between 2017 and 2021. MATERIALS AND METHODS: Data on the incidence of musculoskeletal diseases in children of St. Petersburg were analyzed based on the Federal statistical observation forms submitted by the St. Petersburg State Budgetary Institution Medical Center for Information and Analysis, collections of N.N. Priorov National Medical Research Center for Traumatology and Orthopedics of the Ministry of Health of the Russian Federation “Trauma, orthopedic morbidity, the state of trauma and orthopedic care for the population,” edited by Acad. S.P. Mironov, RAS, and data from the Federal State Statistics Service. RESULTS: In Saint Petersburg, the morbidity rate of musculoskeletal and connective tissue diseases from 2017 to 2021 was 13%, excluding 2020, which was most likely due to the introduction of measures aimed at counteracting the spread of COVID-19 and the suspension of planned outpatient specialized care. The number of orthopedic beds for children decreased by 58, whereas the availability of beds for children remained at the same level and amounted to 4.3 beds per 10,000 children, which exceeded the indicator for the Russian Federation (1.0). The number of children with these disabilities increased 1.4-fold. Deaths of children due to musculoskeletal and connective tissue diseases were recorded in 2019 and 2020. CONCLUSIONS: The results of the 5-year observation period of musculoskeletal and connective tissue diseases in children in St. Petersburg revealed increasing incidence because of the increase in the number of children newly diagnosed with these diseases.

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Hidden neuroaxial pathology is common in idiopathic scoliosis: original research

Sergeenko

Savin

Pozdeyeva

et al. 2022

Preprint

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Purpose To study incidence of occult neuroaxial pathology (NAP) in patients with presumably idiophatic scoliosis in a largest spinal clinic in the Asian Part of Russia Methods We selected 401 patients who came to our clinic with presumably IS: we identified patterns of hidden neuraxial pathology (NAP) and its frequency. In addition to the main part of the study we assessed the reliability of MR-measuring of the pedicles to plan screw width and trajectory. Results Among 401 patients 53 (13%) found NAP: the proportion of males at this group was higher (42% vs 21%, p=0.004), the age of onset of the deformity was less (8.9±3.77 vs 9.9±3.93 years old, p=0.045), left-sided thoracic curve met more often (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 MRI of the spine should be performed at the early stages of IS, since 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. Main signs of hidden NAP in IS are: early onset IS, IS with left-sided thoracic curve, male gender and thoracic kyphosis > 40°Cobb.

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Idiopathic scoliosis as a multifactorial disease: systematic review of current literature

Cited by 3 publications

References 145 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

Incidence of the musculoskeletal system diseases in children and the organization of specialized care in Saint Petersburg

Hidden neuroaxial pathology is common in idiopathic scoliosis: original research

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