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Topic:

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Issue:

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Category:

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Title:

Clinical Relevance of Painful Congenital Early-onset Scoliosis: A Magnetic Resonance Image-based Study

Author:

Ramirez, Norman MD; Deliz-Jimenez, David MD; Torres-Lugo, Norberto MD; Olivella, Gerardo MD, MPH; Cahill, Patrick MD; Gupta, Purnendu MD; Garg, Sumeet MD; Pahys, Joshua MD; Mac-Thiong, Jean-Marc MD, PhD

Journal:

Journal of Pediatric Orthopaedics

Date:

April 2024

Reference:

44(4):p 232-235, DOI: 10.1097/BPO.0000000000002622

Level Of Evidence:

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# of Patients:

42

Study Type:

Prognostic study

Location:

Retrospective database review from the Pediatric Spine Study Group (PSSG)

Summary:

This study investigated back pain as a potential risk factor for underlying pathologies in patients with congenital early-onset scoliosis (Congenital-EOS) using magnetic resonance imaging (MRI).

Methods:

Data was retrospectively reviewed from PSSG. Patients with Congenital-EOS and back pain who had undergone MRI evaluation were included. Demographics and MRI findings were compared between patients with and without underlying MRI pathologies.

Exclusions:

Patients without MRI evaluation or insufficient records were excluded.

Results:

Mean age: 8.1 years; 60% were females. 50% (21/42) of patients had abnormal MRI findings, including tethered spinal cord, spinal canal stenosis, syringomyelia, Arnold-Chiari malformation, and arachnoid cyst. No significant associations were found between abnormal MRI findings and gender, age, coronal curve angle, deformity location, or comorbidities.

Conclusions:

MRI abnormalities are prevalent in Congenital-EOS patients with back pain. Back pain in this patient group warrants thorough evaluation, including MRI, to identify potential underlying spinal pathologies.

Relevance:

Limitations:

Perspective:

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