Hyperkyphosis As an Indicator of Syringomyelia in Idiopathic Scoliosis
| Autor: | Camden Whitaker, Perry L. Schoenecker, Lawrence G. Lenke |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Radiography Scoliosis Asymptomatic Neurosurgical Procedures Thoracic Vertebrae Humans Medicine Orthopedics and Sports Medicine Kyphosis medicine.diagnostic_test business.industry Magnetic resonance imaging medicine.disease Magnetic Resonance Imaging Spine Syringomyelia Diagnosis of exclusion Arnold-Chiari Malformation Spinal Fusion Treatment Outcome Spinal fusion Coronal plane Acute Disease Neurology (clinical) Radiology medicine.symptom business |
| Zdroj: | Spine. 28:E16-E20 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/00007632-200301010-00027 |
| Popis: | STUDY DESIGN A case of thoracic hyperkyphosis is reported as an atypical presentation of otherwise typical adolescent idiopathic scoliosis that showed a large syringomyelia on magnetic resonance imaging. OBJECTIVE To review atypical curve patterns that indicate the need for more intensive preoperative workup including a magnetic resonance imaging scan. SUMMARY OF BACKGROUND DATA The literature on atypical curve patterns of adolescent "non-idiopathic" scoliosis is reviewed. No report in the literature describes patients with an idiopathic coronal plane and thoracic hyperkyphosis as an atypical feature found to have a large syringomyelia and Chiari I malformation on magnetic resonance imaging examination. METHODS The clinical and radiographic features associated with thoracic hyperkyphosis and juvenile and adolescent scoliosis with syringomyelia are presented. RESULTS The neurosurgical treatment of the syringomyelia subsequently led to a potentially safer spinal fusion. The patient tolerated the procedures well and at this writing has remained asymptomatic during 3 years of follow-up evaluation. CONCLUSIONS The reported case adds to the hyperkyphosis literature category of unusual spinal deformities seen in scoliosis associated with syringomyelia and should further help to categorize adolescent idiopathic scoliosis as a diagnosis of exclusion. |
| Databáze: | OpenAIRE |
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