MRI Recommended for Scoliosis Patients
The evaluation and treatment of patients with infantile and juvenile idiopathic scoliosis is a challenging problem, especially because scoliosis can be the only presenting sign of an otherwise asymptomatic neural axis abnormality.
A study of patients with idiopathic scoliosis (10 years old and younger) evaluated the effectiveness of magnetic resonance imaging in the assessment of neural axis abnormalities.
Results from four different reviews showed that the incidence of neural axis abnormalities in otherwise asymptomatic infantile and juvenile patients with idiopathic scoliosis was 18-20%. Because patients were not observed to have abnormal neurologic findings during a preliminary history and physical examination, these findings suggest that magnetic resonance imaging is important for a complete assessment of the patient. Scoliosis may be one of the first signs of an underlying neural axis abnormality in this age group.
Gupta P, Lenke LG, Bridwell KH. Incidence of neural axis abnormalities in infantile and juvenile patients with spinal deformity. Is a magnetic resonance imaging screening necessary? Spine
, Jan. 1998;23(2), pp206-210.