Intraspinal neural axis abnormalities in severe spinal deformity: a 10-year MRI review

Zhang, Ying; Xie, Jingming; Wang, Yingsong; Bi, Ni; Li, Tao; Zhang, Jie; Zhao, Zhi; Ou, Hua; Liu, Siyuan

doi:10.1007/s00586-018-5522-3

Cited by 17 publications

(17 citation statements)

References 27 publications

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“…Indeed, 37.5% of reported abnormalities were located in thoracic and 31.3% in the cervical region, and the most common problem was found in the syrinx. [ 7 ] Interestingly, our incidence of total intraspinal anomalies was quite similar; however, only one of the cases had severe scoliosis. In addition, pain (rarely disabling) occurs in about 32% of patients with adolescent idiopathic scoliosis,[ 18 ] consistent with our findings of idiopathic cases.…”

Section: Discussionmentioning

confidence: 73%

“…Over time, idiopathic scoliosis has been reported to be accompanied by many problems. [ 7 , 8 , 17 ] While intraspinal problems are one of the main etiological causes in the development of scoliosis, it does not always present with abnormal neurological findings, pain or at a young age as reported previously in the literature. In our study, 50% of the patients were neurologically intact.…”

Section: Discussionmentioning

confidence: 86%

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The rate of intraspinal problems and clinical evaluation of scoliosis: A cross-sectional, descriptive study

Tuna

2020

Turk J Phys Med Rehab

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 86%

The rate of intraspinal problems and clinical evaluation of scoliosis: A cross-sectional, descriptive study

Tuna

2020

Turk J Phys Med Rehab

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“…Nonidiopathic scoliosis includes congenital scoliosis, neuromuscular scoliosis, neurofibromatosis-1, and Marfan syndrome, which usually presents as a known pathogeny with an early onset and rapid progression, leading to complex spinal deformities. Severe rigid nonidiopathic scoliosis is often associated with neural axis malformations, pulmonary dysfunction, and malnutrition, thus increasing the potential risk of a correction [1][2][3][4]. To decrease the risk of a correction, preoperational traction is applied in the treatment of nonidiopathic scoliosis.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

et al. 2020

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Introduction Strong halo-femoral traction has been widely used in the field of severe rigid scoliosis correction. The objective of this study was to analyze the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis and discuss its meaning. Material and methods A retrospective review was performed for patients with severe rigid nonidiopathic scoliosis who were treated with halo-femoral traction in our center from December 2008 to December 2015. All cases underwent halo-femoral traction for 2 to 4 weeks before a one-stage posterior operation, and the absolute and relative contribution rates of each orthopedic factor (bending, fulcrum, traction, surgery) were analyzed. Results A total of 38 patients were included (15 males and 23 females), with a mean age of 16.4 ± 3.73 years (10–22 years) and follow-up of 55.05 ± 6.63 months (range 40–68 months). The etiology was congenital in 17 patients, neuromuscular in 14 patients, neurofibromatosis-1 in 3 patients, and Marfan syndrome in 2 patients. Congenital high scapular disease with scoliosis was found in 2 patients. The mean coronal Cobb angle of the major curve was 97.99° ± 11.47° (range 78°–124°), with a mean flexibility of 15.68% ± 6.65%. The absolute contribution rate (ACR) of bending was 27.26% ± 10.16%, the ACR of the fulcrum was 10.91% ± 2.50%, the ACR of traction was 32.32% ± 11.41%, and the ACR of surgery was 29.50% ± 9.70%. A significant difference in correction was noted between the ACRs of traction and the fulcrum (P < 0.05). Discussion Strong halo-femoral traction plays a relatively significant role in the treatment of severe rigid nonidiopathic scoliosis while decreasing the risk of operation, and it is a safe and effective method for the treatment of severe rigid nonidiopathic scoliosis.

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“…Severe rigid nonidiopathic scoliosis is often associated with neural axis malformations, pulmonary dysfunction and malnutrition, thus increasing the potential risk of correction. [1][2][3][4]. To decrease the risk of correction, preoperation traction is applied in the treatment of nonidiopathic scoliosis.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Corrective Contribution of Strong Halo-femoral Traction in the Treatment of Severe Rigid Nonidiopathic Scoliosis

Zhang

Yang

Guo

et al. 2020

Preprint

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Introduction: Strong halo-femoral traction has been widely used in the field of severe rigid scoliosis correction. The objective of this study was to analyze the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis and discuss its meaning.Material and methods: A retrospective review was performed for patients with severe rigid nonidiopathic scoliosis who were treated with halo-femoral traction in our center from December 2008 to December 2015. All cases underwent halo-femoral traction for 2 to 4 weeks before a one-stage posterior operation, and the absolute and relative contribution rates of each orthopedic factor (bending, fulcrum, traction, surgery) were analyzed.Results: A total of 38 patients were included (15 male and 23 female), with a mean age of 16.4± 3.73 years (10-22 years) and follow-up of 55.05 ± 6.63 mos. (range 40-68 mos.). The etiology was congenital in 17 patients, neuromuscular in 14 patients, neurofibromatosis-1 in 3 patients and Marfan syndrome in 2 patients. Congenital high scapular disease with scoliosis was found in 2 patients. The mean coronal Cobb angle of the major curve was 97.99°±11.47° (range 78°–124°), with a mean flexibility of 15.68% ±6.65%. The absolute contribution rate (ACR) of bending was 27.26% ±10.16%, the ACR of the fulcrum was 10.91% ±2.50%, the ACR of traction was 32.32% ±11.41%, and the ACR of surgery was 29.50% ±9.70%. A significant difference in correction was noted between the ACRs of traction and the fulcrum (P < 0.05).Discussion: Strong halo-femoral traction plays a relatively significant role in the treatment of severe rigid nonidiopathic scoliosis while decreasing the risk of operation, and it is a safe and effective method for the treatment of severe rigid nonidiopathic scoliosis.

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Intraspinal neural axis abnormalities in severe spinal deformity: a 10-year MRI review

Cited by 17 publications

References 27 publications

The rate of intraspinal problems and clinical evaluation of scoliosis: A cross-sectional, descriptive study

The rate of intraspinal problems and clinical evaluation of scoliosis: A cross-sectional, descriptive study

Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis

Analysis of the Corrective Contribution of Strong Halo-femoral Traction in the Treatment of Severe Rigid Nonidiopathic Scoliosis

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