Scoliosis MRI: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Scoliosis}} | |||
{{CMG}}; {{AE}} {{Rohan}} | {{CMG}}; {{AE}} {{Rohan}} | ||
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==MRI== | ==MRI== | ||
*[[Magnetic resonance imaging|Magnetic resonance imaging (MRI)]] is the diagnostic test indicated for neuromuscular and congenital scoliosis.<ref name="pmid12096851">{{cite journal| author=Cassar-Pullicino VN, Eisenstein SM| title=Imaging in scoliosis: what, why and how? | journal=Clin Radiol | year= 2002 | volume= 57 | issue= 7 | pages= 543-62 | pmid=12096851 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12096851 }} </ref><ref name="pmid1591754">{{cite journal| author=Isu T, Chono Y, Iwasaki Y, Koyanagi I, Akino M, Abe H et al.| title=Scoliosis associated with syringomyelia presenting in children. | journal=Childs Nerv Syst | year= 1992 | volume= 8 | issue= 2 | pages= 97-100 | pmid=1591754 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1591754 }} </ref><ref name="pmid158024">{{cite journal| author=Williams B| title=Orthopaedic features in the presentation of syringomyelia. | journal=J Bone Joint Surg Br | year= 1979 | volume= 61-B | issue= 3 | pages= 314-23 | pmid=158024 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=158024 }} </ref><ref name="pmid11315788">{{cite journal| author=Do T, Fras C, Burke S, Widmann RF, Rawlins B, Boachie-Adjei O| title=Clinical value of routine preoperative magnetic resonance imaging in adolescent idiopathic scoliosis. A prospective study of three hundred and twenty-seven patients. | journal=J Bone Joint Surg Am | year= 2001 | volume= 83-A | issue= 4 | pages= 577-9 | pmid=11315788 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11315788 }} </ref> | {| align="right" | ||
*MRI is seldom used for adolescent idiopathic scoliosis. | | | ||
*However, in some atypical situations with adolescent idiopathic scoliosis, MRI is indicated. | [[File:MRI hemivertebra with congenital-scoliosis.jpg|thumb|right|500px|Coronal T2: L1 hemivertebra is causing congenital scoliosis. [https://radiopaedia.org/cases/hemivertebra-with-congenital-scoliosis-1 Source: Case courtesy of Dr Ahmed Almuslim, Radiopaedia.org, rID: 6919]]] | ||
*MRI is used with increasing frequency to evaluate patients with an unusual curve pattern or alarming clinical manifestations. | |} | ||
*[[Magnetic resonance imaging|Magnetic resonance imaging (MRI)]] is the diagnostic test indicated for neuromuscular and congenital scoliosis.<ref name="pmid12096851">{{cite journal| author=Cassar-Pullicino VN, Eisenstein SM| title=Imaging in scoliosis: what, why and how? | journal=Clin Radiol | year= 2002 | volume= 57 | issue= 7 | pages= 543-62 | pmid=12096851 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12096851 }} </ref><ref name="pmid1591754">{{cite journal| author=Isu T, Chono Y, Iwasaki Y, Koyanagi I, Akino M, Abe H et al.| title=Scoliosis associated with syringomyelia presenting in children. | journal=Childs Nerv Syst | year= 1992 | volume= 8 | issue= 2 | pages= 97-100 | pmid=1591754 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1591754 }} </ref><ref name="pmid158024">{{cite journal| author=Williams B| title=Orthopaedic features in the presentation of syringomyelia. | journal=J Bone Joint Surg Br | year= 1979 | volume= 61-B | issue= 3 | pages= 314-23 | pmid=158024 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=158024 }} </ref><ref name="pmid11315788">{{cite journal| author=Do T, Fras C, Burke S, Widmann RF, Rawlins B, Boachie-Adjei O| title=Clinical value of routine preoperative magnetic resonance imaging in adolescent idiopathic scoliosis. A prospective study of three hundred and twenty-seven patients. | journal=J Bone Joint Surg Am | year= 2001 | volume= 83-A | issue= 4 | pages= 577-9 | pmid=11315788 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11315788 }} </ref> | |||
*[[MRI]] is seldom used for adolescent idiopathic [[scoliosis]]. | |||
*However, in some atypical situations with adolescent idiopathic [[scoliosis]], [[Magnetic resonance imaging|MRI]] is indicated. | |||
*[[Magnetic resonance imaging|MRI]] is used with increasing frequency to evaluate patients with an unusual curve pattern or alarming clinical manifestations. | |||
===Chief Indications for MRI=== | ===Chief Indications for MRI=== | ||
*Congenital neuropathic abnormality such as arnold-chiari malformation, tethered cord, and dysraphism - related anomalies. | *Congenital neuropathic abnormality such as arnold-chiari malformation, [[Tethered spinal cord syndrome|tethered cord]], and dysraphism - related anomalies. | ||
*Dysplasia such as neurofibromatosis, osteogenesis imperfecta, and marfan's syndrome. | *[[Dysplasia]] such as [[neurofibromatosis]], [[osteogenesis imperfecta]], and [[marfan's syndrome]]. | ||
*Pain suggestive of bone tumor, infection, and intervertebral disc herniation. | *[[Pain]] suggestive of [[Bone tumors|bone tumor]], [[infection]], and [[Spinal disc herniation|intervertebral disc herniation]]. | ||
*Neurologic deterioration with abnormality at electroneurography or evoked electromyography. | *[[Neurologic]] deterioration with abnormality at electroneurography or evoked [[electromyography]]. | ||
*Idiopathic scoliosis with specific clinical or neurological features. | *Idiopathic [[scoliosis]] with specific clinical or [[neurological]] features. | ||
===Indications of MRI for Idiopathic Scoliosis=== | ===Indications of MRI for Idiopathic Scoliosis=== | ||
*'''Clinical features''' | *'''Clinical features''' | ||
**Age < 10 years | **Age < 10 years | ||
**Signs of neurological deterioration | **Signs of [[neurological]] deterioration | ||
**Rapid progression | **Rapid progression | ||
**Foot deformity | **[[Foot deformity]] | ||
**Back pain, neck pain, headache | **[[Back pain]], [[neck pain]], [[headache]] | ||
*'''Radiological features''' | *'''Radiological features''' | ||
| Line 36: | Line 41: | ||
***Severe curve after skeletal maturity | ***Severe curve after skeletal maturity | ||
**Presence of intramedullary non osseous lesions with features such as: | **Presence of intramedullary non osseous lesions with features such as: | ||
***Wide spinal canal | ***Wide [[spinal canal]] | ||
***Thin pedicle | ***Thin [[Pedicle of vertebral arch|pedicle]] | ||
***Wide neural foramina | ***Wide neural foramina | ||
Latest revision as of 16:59, 6 December 2018
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Scoliosis Microchapters |
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Scoliosis MRI On the Web |
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American Roentgen Ray Society Images of Scoliosis MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]
Overview
Magnetic resonance imaging (MRI) is the gold standard test indicated for neuromuscular and congenital scoliosis. MRI is seldom used for adolescent idiopathic scoliosis. However, in some unusual situations with adolescent idiopathic scoliosis, M.R.I. is indicated.
MRI
 |
- Magnetic resonance imaging (MRI) is the diagnostic test indicated for neuromuscular and congenital scoliosis.[1][2][3][4]
- MRI is seldom used for adolescent idiopathic scoliosis.
- However, in some atypical situations with adolescent idiopathic scoliosis, MRI is indicated.
- MRI is used with increasing frequency to evaluate patients with an unusual curve pattern or alarming clinical manifestations.
Chief Indications for MRI
- Congenital neuropathic abnormality such as arnold-chiari malformation, tethered cord, and dysraphism - related anomalies.
- Dysplasia such as neurofibromatosis, osteogenesis imperfecta, and marfan's syndrome.
- Pain suggestive of bone tumor, infection, and intervertebral disc herniation.
- Neurologic deterioration with abnormality at electroneurography or evoked electromyography.
- Idiopathic scoliosis with specific clinical or neurological features.
Indications of MRI for Idiopathic Scoliosis
- Clinical features
- Age < 10 years
- Signs of neurological deterioration
- Rapid progression
- Foot deformity
- Back pain, neck pain, headache
- Radiological features
- Curve type commonly associated with neuropathy such as:
- Left thoracic
- Double thoracic
- Triple major
- Short segment
- Long right thoracic curve
- Severe curve after skeletal maturity
- Presence of intramedullary non osseous lesions with features such as:
- Wide spinal canal
- Thin pedicle
- Wide neural foramina
- Curve type commonly associated with neuropathy such as:
References
- ↑ Cassar-Pullicino VN, Eisenstein SM (2002). "Imaging in scoliosis: what, why and how?". Clin Radiol. 57 (7): 543–62. PMID 12096851.
- ↑ Isu T, Chono Y, Iwasaki Y, Koyanagi I, Akino M, Abe H; et al. (1992). "Scoliosis associated with syringomyelia presenting in children". Childs Nerv Syst. 8 (2): 97–100. PMID 1591754.
- ↑ Williams B (1979). "Orthopaedic features in the presentation of syringomyelia". J Bone Joint Surg Br. 61-B (3): 314–23. PMID 158024.
- ↑ Do T, Fras C, Burke S, Widmann RF, Rawlins B, Boachie-Adjei O (2001). "Clinical value of routine preoperative magnetic resonance imaging in adolescent idiopathic scoliosis. A prospective study of three hundred and twenty-seven patients". J Bone Joint Surg Am. 83-A (4): 577–9. PMID 11315788.