背景:背痛,作为脊柱侧凸的临床标志,多年来一直与潜在的病理学有关,保证进一步的磁共振成像(MRI)。分段失败,混合缺陷,女性性别,肋骨异常,先天性胸廓异常,和神经皮肤标志物是先天性早发性脊柱侧凸(Conexonent-EOS)患者MRI病理异常的已知危险因素。然而,在先天性EOS患者中,背痛尚未被评估为基础MRI病理的危险因素.这项研究旨在使用MRI作为诊断工具评估背痛作为先天性EOS潜在病理的危险因素。
方法:来自儿科脊柱研究组(PSSG)的回顾性数据库回顾,所有先天性EOS患者报告有背痛主诉,并在进行手术干预之前接受了脊柱MRI研究。将患者分为具有潜在MRI病理的患者和没有MRI病理的患者。比较各组之间的人口统计学特征。
结果:在PSSG登记的2355例先天性EOS患者中,107名患者报告有背痛主诉,只有42例患者符合纳入标准(正在通过MRI研究进行评估)。总体组平均年龄为8.1±4.5岁,42名患者中有25名(60%)是女性。42例患者中有24例(57%)有合并症,如心脏问题,肌肉骨骼不适,神经功能缺损/脊髓病,胃肠道症状,发育迟缓,呼吸问题,颅面异常,和染色体条件。在42例先天性EOS(50%)背痛患者中,有21例发现了潜在的MRI病理学。发现的潜在MRI病理是脊髓栓系,椎管狭窄,脊髓空洞症,Arnold-Chiari畸形,和蛛网膜囊肿.
结论:在报告背痛的先天性EOS患者中,MRI异常表现是常见的。性别,年龄,主日冕曲线角度,胸或腰椎优势畸形,合并症类型或量与异常MRI表现无关。
方法:II级-预后研究。
BACKGROUND: Back pain, as a clinical marker in scoliosis, has been associated with underlying pathology for many years, warranting further magnetic resonance imaging (MRI). Failures of segmentation, mixed defects, female gender, rib anomalies, congenital thoracic anomalies, and neurocutaneous markers are known risk factors for abnormal MRI pathology findings in patients with congenital early-onset scoliosis (Congenital-EOS). Yet, back pain has not been evaluated as a risk factor for underlying MRI pathology in patients with Congenital-EOS. This
study aimed to assess back pain as a risk factor for underlying pathology in Congenital-EOS using MRI as a diagnostic tool.
METHODS: A retrospective database review from the Pediatric Spine
Study Group (PSSG) of all patients with Congenital-EOS who reported a back pain complaint, and underwent a spinal MRI
study before surgical intervention was performed. Patients were divided into those with an underlying MRI pathology and those without. Demographics were compared between groups.
RESULTS: From a total of 2355 patients with Congenital-EOS registered in PSSG, 107 patients reported a back pain complaint, with only 42 patients fulfilling the inclusion criteria (being evaluated with an MRI study). Overall group mean age was 8.1±4.5 years, with 25 of the 42 patients (60%) being females. Twenty-four of 42 patients (57%) had a comorbidity reported such as cardiac problems, musculoskeletal complaints, neurological deficits/myelopathy, gastrointestinal symptoms, developmental delay, respiratory problems, craniofacial abnormalities, and chromosomal conditions. An underlying MRI pathology was found in 21 of 42 patients with Congenital-EOS (50%) with back pain. The underlying MRI pathologies found were tethered spinal cord, spinal canal stenosis,
syringomyelia, Arnold-Chiari malformation, and arachnoid cyst.
CONCLUSIONS: Abnormal MRI findings are common in patients with Congenital-EOS who report back pain. Gender, age, major coronal curve angle, thoracic or lumbar predominance deformity, and comorbidities type or amount were not associated with abnormal MRI findings.
METHODS: Level II-Prognostic
study.