Childhood scoliosis: MR imaging

The spinal cords of 28 scoliosis patients between the ages of 1 month and 17 years were examined with magnetic resonance (MR) imaging. Complete visualization was obtained in all cases. In 15 patients (53%) neuropathologic abnormalities demonstrated by MR imaging significantly affected their clinical...

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Published inRadiology Vol. 164; no. 3; p. 791
Main Authors Nokes, S R, Murtagh, F R, Jones, 3rd, J D, Downing, M, Arrington, J A, Turetsky, D, Silbiger, M L
Format Journal Article
LanguageEnglish
Published United States 01.09.1987
Subjects
Arnold-Chiari Malformation - diagnosis
Child
Female
Humans
Magnetic Resonance Spectroscopy
Male
Scoliosis - diagnosis
Scoliosis - pathology
Spinal Cord - pathology
Spinal Cord Diseases - diagnosis
Spinal Cord Neoplasms - diagnosis
Syringomyelia - diagnosis
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Summary:The spinal cords of 28 scoliosis patients between the ages of 1 month and 17 years were examined with magnetic resonance (MR) imaging. Complete visualization was obtained in all cases. In 15 patients (53%) neuropathologic abnormalities demonstrated by MR imaging significantly affected their clinical course, including tethered cords (n = 7), syringomyelia (n = 5), Arnold-Chiari I malformation (n = 4), spinal cord tumors (n = 2), Arnold-Chiari II malformation (n = 3), and diastematomyelia (n = 1). The advantages of MR imaging in the evaluation of the scoliotic spine in children include a high sensitivity for the occult conditions associated with scoliosis, good anatomic demonstration of the cord, and absence of bone artifacts. MR imaging is recommended as a primary imaging modality in scoliosis, following conventional radiography.
ISSN:0033-8419
DOI:10.1148/radiology.164.3.3615882