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Published on: October 16, 2013
Intraspinal Anomalies in Early Onset Scoliosis: Current Concepts
Manoj Singrakhia1, Nikhil Malewar1, Ajit Jangle1
1Spine Surgery Department, Shanta Spine Institute, Nagpur, Maharashtra, India.
Insights
Early onset scoliosis (EOS) in children under 5 poses risks to lung development. Identifying neurogenic causes via MRI is crucial for effective treatment and preventing neurological complications.
Area of Science:
- Pediatric Orthopedics
- Pediatric Neurology
- Medical Imaging
Background:
- Early onset scoliosis (EOS) affects children under 5 years.
- EOS can impede thoracic cage development and pulmonary maturation.
- Accurate etiological diagnosis (congenital, neurogenic, idiopathic, syndromic) is essential.
Purpose of the Study:
- To highlight the importance of evaluating spinal cord anomalies in EOS.
- To emphasize the role of advanced imaging in diagnosing neurogenic EOS.
- To underscore the risks associated with untreated spinal abnormalities during scoliosis correction.
Main Methods:
- Review of current diagnostic approaches for EOS.
- Emphasis on the diagnostic utility of Magnetic Resonance Imaging (MRI).
- Analysis of potential complications arising from unaddressed spinal cord issues.
Main Results:
- Increased awareness of neurogenic causes for EOS due to MRI advancements.
- Demonstration of the critical link between spinal cord anomalies and EOS.
- Identification of potential neurological complications from interventions without addressing underlying spinal issues.
Conclusions:
- Early diagnosis and treatment of spinal cord anomalies are vital for managing EOS.
- MRI plays a key role in identifying neurogenic etiologies of EOS.
- Failure to treat spinal cord anomalies before scoliosis intervention can lead to severe neurological deficits.
Abstract:
Early onset scoliosis (EOS) is deformity of the spine below the age of 5 years. Children with EOS are at risk of impaired thoracic cage development and pulmonary maturation. Initial evaluation consists of determining the etiological cause for EOS, i.e., congenital, neurogenic, idiopathic, or syndromic. The advent of magnetic resonance imaging in recent times has lead to increased awareness of neurogenic causes leading to EOS. Evaluation of spinal cord anomalies in EOS is very important as early diagnosis and treatment can help in deformity stabilization and regression. Also, any surgical or nonsurgical intervention to correct the deformity without prior treatment of spinal cord anomalies can lead to disastrous neurological complications.
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