SYRINGOMYELIA AND SCOLIOSIS - A REVIEW OF 25 PEDIATRIC-PATIENTS

被引:74
作者
CHARRY, O [1 ]
KOOP, S [1 ]
WINTER, R [1 ]
LONSTEIN, J [1 ]
DENIS, F [1 ]
BAILEY, W [1 ]
机构
[1] MINNESOTA SPINE CTR,606 24TH AVE S,MINNEAPOLIS,MN 55454
关键词
SCOLIOSIS; SYRINGOMYELIA;
D O I
10.1097/01241398-199405000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A retrospective review of 25 patients with scoliosis secondary to syringomyelia was conducted. All patients had large syrinxes, but only 10 patients had abnormal neurologic findings, suggesting that subtle neurologic findings in patients with scoliosis should not be underestimated and supporting liberal use of magnetic resonance imaging (MRI). The results of three approaches to the care of these patients were reviewed: passive observation, bracing, and spinal fusion. Curves progressed greater-than-or-equal-to 5-degrees in patients aged < 10 years who were observed, but in children aged > 10 years, curves progressed greater-than-or-equal-to 10-degrees. Curves responded well to bracing, but correction was not maintained out of brace for patients with progressive and/or severe curves. Good correction was achieved safely during operation.
引用
收藏
页码:309 / 317
页数:9
相关论文
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