Preoperative MRI Doesn't Affect Scoliosis Surgery Outcomes

MRI for scoliosis in adolescents may not impact outcomes even if abnormality detected

WEDNESDAY, April 27 (HealthDay News) -- Preoperative magnetic resonance imaging (MRI) for adolescent idiopathic scoliosis may not affect the surgical outcome even if a neural abnormality is detected, according to a study published in the April 15 issue of Spine.

Mohammad Diab, M.D., from the University of California in San Francisco, and colleagues reported the use and outcomes of preoperative MRI in adolescents undergoing surgery for scoliosis. A total of 2,203 patients with scoliosis, aged 8 to 18 years, from the Spinal Deformity Study Group underwent posterior spinal fusion and instrumentation. Of these, 923 (41.8 percent) had a spine MRI before undergoing surgery.

The investigators identified 91 abnormalities of the spine, of which 4.2 percent were neural. Neural abnormalities included syringes (66.7 percent), Chiari malformations (30.7 percent), and tethered cord (2.6 percent). Abnormalities affecting parts of the spine other than neural elements were evident in 5.7 percent of patients. Patients undergoing MRI were significantly more likely to be male, have a diagnosis of juvenile idiopathic scoliosis, have thoracic hyperkyphosis, have a Risser grade between 0 and 2, have a greater curve magnitude, have three major curves, and undergo a combined anterior-posterior surgical approach. Juvenile-onset patients and those with thoracic hyperkyphosis were more likely to have a neural lesion on their spine MRI. No significant difference was observed in incidence of abnormal MRI based on male gender, body mass index, direction of apex, Risser grade, or curve magnitude or type.

"There were no neural or other complications to surgical treatment of adolescent idiopathic scoliosis in the setting of an MRI neural abnormality and normal neural examination," the authors write.

Abstract
Full Text

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95


The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95


Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.


Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.


Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events