Clinical manifestations and radiological characteristics in patients with idiopathic syringomyelia and scoliosis
Clinical manifestations and radiological characteristics in patients with idiopathic syringomyelia and scoliosis
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特发性脊髓空洞症和脊柱侧凸患者的临床表现和影像学特征
DOI：
10.1007/s00586-018-5679-9
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发表时间：
2018-09-01
影响因子：
2.8
通讯作者：
Li, Zheng
中科院分区：
文献类型：
--
作者：
Tan, Haining;Shen, Jianxiong;Li, Zheng
目的 明确特发性脊髓空洞症 (IS) 的临床表现和影像学特征，探讨 IS 相关性脊柱侧凸患者空洞与脊柱侧凸曲线的关系。对 2009 年 6 月至 2016 年 12 月 55 例 IS 合并脊柱侧凸患者进行回顾性分析。 收集的。空洞/脊髓（S/C）比定义为空洞前后径除以同一水平脊髓的直径。将患者分为胸椎组（T组，顶椎位于T2至T11-T12椎间盘）和胸腰椎/腰椎组（TL/L组，顶椎位于T12至L5）。特发性空洞的影像学特征与脊柱侧凸曲线参数之间无相关性。 TL/L组的最大尾部长度(13.7比10.6，P=0.029)和最大S/C比(12.0比8.7，P=0.016)均低于T组。空洞的偏斜侧与主弯凸度（27.2% 一致率，P = 0.522）或神经功能缺损的主导侧（16.3% 一致率，P = 0.212）不重合。与主弯位于胸腰椎或腰椎的患者相比，主弯位于胸腰椎或腰椎的患者尾部范围要小得多，最大 S/C 比水平也较低。 胸椎。未检测到鸣管特征、脊柱侧凸曲线参数和神经功能缺损之间存在显着关系。这些幻灯片可以在电子补充材料下检索。[图形]。
To clarify the clinical manifestation and radiological characteristics of idiopathic syringomyelia (IS) and to investigate the relationship between syrinx and scoliotic curves in IS-related scoliosis patients.Fifty-five patients with IS and scoliosis were identified and reviewed retrospectively from June 2009 to December 2016. Radiographic features of syrinx, scoliosis and clinical manifestations of neurological deficits were collected. The syrinx/cord (S/C) ratio was defined as the anteroposterior diameter of syrinx divided by the diameter of spinal cord at the same level. Patients were classified into two groups, the thoracic group (T group, apex vertebra located from T2 to intervertebral disk of T11-T12) and the thoracolumbar/lumbar group (TL/L group, apex vertebra located from T12 to L5).There was no correlation between the radiological features of idiopathic syrinx and scoliotic curve parameters. The TL/L group had a lower level of most caudal extent (13.7 compared with 10.6, P = 0.029) and lower level of largest S/C ratio (12.0 compared with 8.7, P = 0.016) than that in T group. The deviated side of syrinx was not coincident with major curve convexity (27.2% concordance rate, P = 0.522) or dominant side of neurological deficit (16.3% concordance rate, P = 0.212).Patients with major curves located on the thoracolumbar or lumbar spine had a much lower caudal extent and lower level of greatest S/C ratio compared to patients with major curves located on the thoracic spine. No significant relationships were detected between syrinx features, scoliotic curve parameters and neurological deficits.These slides can be retrieved under Electronic Supplementary Material.[GRAPHICS].