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- Title
A three-dimensional analysis of scoliosis progression in non-idiopathic scoliosis: is it similar to adolescent idiopathic scoliosis?
- Authors
Bachmann, Keith R.; Yaszay, Burt; Bartley, Carrie E.; Bastrom, Tracey P.; Reighard, Fredrick G.; Upasani, Vidyadhar V.; Newton, Peter O.
- Abstract
Purpose: To evaluate the three-dimensional (3D) characteristics of spine deformity in patients with non-idiopathic scoliosis compared with those observed in patients with adolescent idiopathic scoliosis (AIS). Methods: A retrospective chart review was conducted to identify patients with non-idiopathic scoliosis. Twenty-eight patients with neural axis (NA) abnormalities (Chiari 1, syrinx) and 20 patients with connective tissue disorder (CTD) (Marfan's, Beal's, Ehlers-Danlos syndrome, mixed) were identified. The 3D parameters of the coronal, sagittal, and axial plane were compared with 284 AIS patients with a similar range of coronal deformity. Results: The average coronal curve was similar between all three groups (AIS 48 ± 15°, CTD 43 ± 22°, and NA 49 ± 18°; p = 0.4). The NA patients had significantly greater 3D thoracic kyphosis (20 ± 18° vs 10 ± 15°, p = 0.001) and less thoracic apical vertebral rotation (− 5 ± 18° vs − 12 ± 10°, p = 0.003) when compared with AIS. The CTD group's 3D thoracic kyphosis (p = 0.7) and apical vertebral rotation (p = 0.09) did not significantly differ from AIS. Significant negative correlations were found in all three groups between thoracic kyphosis and coronal curve magnitude (AIS r = − 0.49, CTD r = − 0.772, NA r = −0.677, all p < 0.001). Conclusions: Scoliotic patients with NA abnormalities have a more kyphotic, less-rotated 3D profile than patients with AIS, while scoliosis patients with CTD have 3D features similar to AIS. Irrespective of the underlying diagnosis, however, greater scoliotic curves were associated with a greater loss of intersegmental kyphosis, suggesting a similar biomechanical pathophysiology for curve progression.
- Subjects
ADOLESCENT idiopathic scoliosis; SCOLIOSIS; EHLERS-Danlos syndrome; KYPHOSIS; CONNECTIVE tissues
- Publication
Child's Nervous System, 2019, Vol 35, Issue 9, p1585
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-019-04239-4