Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review
Objective. To analyze possible radiological and clinical risk factors for syringomyelia in patients with scoliotic deformity. Material and Methods. An analysis of data from 3,285 patients with idiopathic scoliosis treated from 1997 to 2020 was performed. Syringomyelia was detected in 38 (1.16 %) ca...
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2020-12-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1746/1739 |
| _version_ | 1797719004794585088 |
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| author | Vadim V. Belozerov Mikhail V. Mikhaylovskiy |
| author_facet | Vadim V. Belozerov Mikhail V. Mikhaylovskiy |
| author_sort | Vadim V. Belozerov |
| collection | DOAJ |
| description | Objective. To analyze possible radiological and clinical risk factors for syringomyelia in patients with scoliotic deformity.
Material and Methods. An analysis of data from 3,285 patients with idiopathic scoliosis treated from 1997 to 2020 was performed. Syringomyelia was detected in 38 (1.16 %) cases. In 26 cases, syringomyelia was combined with Chiari malformation. In order to search for information on the topic under discussion, the international databases (Scopus, Medline, and GoogleScholar) were used. Additional search for publications listed in the article references was carried out. According to the literature data, possible risk factors for the presence of syringomyelia have been identified.
Results. Among patients with confirmed syringomyelia, a left-sided thoracic scoliotic curve was found in 23.7 % of cases, a double thoracic curve in 18.4 %, an upper thoracic scoliotic curve in 7.9 %, an increase in thoracic kyphosis in 60.5 %, and initial neurological deficit in 47.4 %, which is significantly higher than the same indicators in the entire group of patients. The ratio of male and female patients in the entire group was 1.0 : 6.7, in the group with syringomyelia – 1.00 : 1.71.
Conclusion. According to the literature review and statistically significant factors identified in the analysis of the monocentric group, it can be said that the left-sided thoracic scoliotic curve, upper thoracic curve, double thoracic curve, increased thoracic kyphosis, initial pyramidal insufficiency in the lower extremities, male sex, and a decrease in the initial somatosensory evoked potentials are risk factors for syringomyelia. If the above factors are present in a patient, the MRI study may be recommended to determine further treatment tactics.
Before surgical correction of scoliotic deformity, MRI is recommended for all patients. |
| first_indexed | 2024-03-12T08:58:31Z |
| format | Article |
| id | doaj.art-2b339715f34c4ce4a558ce0e8c7f5d72 |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T08:58:31Z |
| publishDate | 2020-12-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-2b339715f34c4ce4a558ce0e8c7f5d722023-09-02T15:49:25ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972020-12-01174273210.14531/ss2020.4.27-32Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature reviewVadim V. Belozerov0https://orcid.org/0000-0003-2441-2686Mikhail V. Mikhaylovskiy1https://orcid.org/0000-0002-4847-100XNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaNovosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaObjective. To analyze possible radiological and clinical risk factors for syringomyelia in patients with scoliotic deformity. Material and Methods. An analysis of data from 3,285 patients with idiopathic scoliosis treated from 1997 to 2020 was performed. Syringomyelia was detected in 38 (1.16 %) cases. In 26 cases, syringomyelia was combined with Chiari malformation. In order to search for information on the topic under discussion, the international databases (Scopus, Medline, and GoogleScholar) were used. Additional search for publications listed in the article references was carried out. According to the literature data, possible risk factors for the presence of syringomyelia have been identified. Results. Among patients with confirmed syringomyelia, a left-sided thoracic scoliotic curve was found in 23.7 % of cases, a double thoracic curve in 18.4 %, an upper thoracic scoliotic curve in 7.9 %, an increase in thoracic kyphosis in 60.5 %, and initial neurological deficit in 47.4 %, which is significantly higher than the same indicators in the entire group of patients. The ratio of male and female patients in the entire group was 1.0 : 6.7, in the group with syringomyelia – 1.00 : 1.71. Conclusion. According to the literature review and statistically significant factors identified in the analysis of the monocentric group, it can be said that the left-sided thoracic scoliotic curve, upper thoracic curve, double thoracic curve, increased thoracic kyphosis, initial pyramidal insufficiency in the lower extremities, male sex, and a decrease in the initial somatosensory evoked potentials are risk factors for syringomyelia. If the above factors are present in a patient, the MRI study may be recommended to determine further treatment tactics. Before surgical correction of scoliotic deformity, MRI is recommended for all patients.https://www.spinesurgery.ru/jour/article/view/1746/1739syringomyeliascoliosisspinal deformityrisk factors |
| spellingShingle | Vadim V. Belozerov Mikhail V. Mikhaylovskiy Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review Хирургия позвоночника syringomyelia scoliosis spinal deformity risk factors |
| title | Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review |
| title_full | Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review |
| title_fullStr | Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review |
| title_full_unstemmed | Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review |
| title_short | Risk factors for the presence of syringomyelia in idiopathic scoliosis: analysis of 3,285 cases and brief literature review |
| title_sort | risk factors for the presence of syringomyelia in idiopathic scoliosis analysis of 3 285 cases and brief literature review |
| topic | syringomyelia scoliosis spinal deformity risk factors |
| url | https://www.spinesurgery.ru/jour/article/view/1746/1739 |
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