Incidence of Neuraxial Abnormalities Is Approximately 8% Among Patients With Adolescent Idiopathic Scoliosis: A Meta-analysis

Clinical Orthopaedics and Related Research
Michael FaloonArash Emami

Abstract

Several studies have sought to address the role of routine preoperative MRI in patients with adolescent idiopathic scoliosis (AIS) undergoing deformity correction. Despite similar results regarding the prevalence of neuraxial anomalies detected on MRI, published conclusions conflict and give opposing recommendations. Lack of consensus has led to important variations in use of MRI before spinal surgery for patients with AIS. This systematic review and meta-analysis of studies about patients with AIS evaluated (1) the overall proportion of neuraxial abnormalities; (2) the patient factors and curve characteristics that may be associated with abnormalities; and (3) the proportion of patients who underwent neurosurgical intervention before scoliosis surgery and the kinds of neuraxial lesions that were identified. We performed a search of four electronic databases (PubMed, EMBASE, CINAHL Plus, and SCOPUS) utilizing search terms related to routine MRI and AIS, yielding 206 articles. Studies included had at least 20 participants, patients with ages 11 to 21 years, and a Methodological Index for Non-Randomized Studies (MINORS) study quality score of 8 and 16 points for noncomparative and comparative studies, respectively. Non-English ma...Continue Reading

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Citations

Jun 13, 2020·Journal of Orthopaedic Surgery·Jason Pui Yin CheungUNKNOWN APSS Scoliosis Focus Group
Jun 13, 2020·The Journal of Bone and Joint Surgery. American Volume·Haining TanZheng Li
Sep 18, 2020·Spine Deformity·Rafael Garcia de OliveiraCícero Ricardo Gomes
Dec 16, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Long JiangZezhang Zhu
Jul 2, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Haining TanZheng Li
Dec 14, 2019·Journal of Pediatric Orthopedics·Franklin K GettysPeter J Stasikelis
Jan 21, 2021·Spine Deformity·Nora P O'NeillMichael P Glotzbecker
Oct 23, 2020·Journal of Orthopaedic Surgery and Research·Xudong WangLei Xia
May 14, 2021·The Journal of Bone and Joint Surgery. American Volume·Arjun K ReddyMatt Vassar
Jun 16, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Palma CiaramitaroUNKNOWN International Experts Jury of the Chiari Syringomyelia Consensus Conference, Milan, November 11-13, 2019
Nov 16, 2020·Asian Spine Journal·Simanchal Prosad MohantyJayakrishnan K Narayana Kurup

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