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Surgical Treatment of Scoliosis-Associated with Syringomyelia: The Role of Syrinx Size
- Source :
- Neurology India. 68:299
- Publication Year :
- 2020
- Publisher :
- Medknow, 2020.
-
Abstract
- Background: The treatment of the syrinx prior to correction of the scoliosis in syringomyelia-associated scoliosis (SMS) patients remains controversial. The aim of this study is to evaluate the role of the syrinx size in the management of SMS patients. Materials and Methods: This was a retrospective study of 36 SMS patients. They were divided into 2 groups: Group A (26 with a small syrinx, syrinx(S)/spinal cord(C) ratio ≤0.7) and Group B (10 with a large syrinx, S/C ratio >0.7). Patients with a large syrinx accepted prophylactic neurosurgery prior to scoliosis surgery. They were evaluated at baseline, 1-week and last follow-up after correction surgery for changes in curve correction, global coronal balance, thoracic kyphosis (TK), sagittal vertical axis (SVA), and Scoliosis Research Society (SRS)-22 scores. Results: The syrinx size of patients in Group A was significantly smaller than that of in Group B. The syrinx size was significantly decreased after prophylactic neurosurgery in Group B. The radiographic parameters of scoliosis at baseline, 1-week and last follow-up after scoliosis surgery were comparable between two groups. No abnormal signal was detected during the process of neuromonitoring in both groups. Pre- and postoperative SRS-22 scores were similar between two groups. Conclusions: Prophylactic neurosurgery may be beneficial for decreasing the risk of correction surgery in SMS patients with large syrinx (S/C ratio >0.7). After the intervention of syrinx prior to scoliosis correction, SMS patients with large syrinx could obtain similar clinical and radiographic outcomes of treatment with pedicle-screw-based spinal instrumentation and fusion compared to the patients with small syrinx.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Radiography
Scoliosis
Neurosurgical Procedures
030218 nuclear medicine & medical imaging
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
medicine
Humans
Syrinx (medicine)
Child
Retrospective Studies
business.industry
Retrospective cohort study
Organ Size
respiratory system
medicine.disease
Magnetic Resonance Imaging
Syringomyelia
Sagittal plane
Arnold-Chiari Malformation
Surgery
Spinal Fusion
medicine.anatomical_structure
Spinal Cord
Neurology
Coronal plane
Female
Neurology (clinical)
Neurosurgery
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 00283886
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- Neurology India
- Accession number :
- edsair.doi.dedup.....7390e9ea119348043bfc21bb18dcb62f