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논문 기본 정보

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학술저널
저자정보
Yarandi Kourosh Karimi (Neurosurgery Sina Hospital Tehran University of Medical Sciences) Mohammadi Esmaeil (Tehran University of Medical Sciences Tehran Iran) Alimohammadi Maysam (Neurosurgery Sina Hospital Tehran University of Medical Sciences) Boshrabadi Ahmad Pourrashidi (Neurosurgery Sina Hospital Tehran University of Medical Sciences) Golbakhsh Mohammadreza (Orthopedics Surgery Sina Hospital Tehran University of Medical Sciences) Amirjamshidi Abbas (Neurosurgery Sina Hospital Tehran University of Medical Sciences)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.15 No.1
발행연도
2021.1
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32 - 39 (8page)

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Study Design: A total of 110 patients with scoliosis were enrolled in this analytical cross-sectional study.Purpose: We aimed to compare the urodynamic study (UDS) results of patients with idiopathic scoliosis (ISC) and congenital scoliosis (CSC) and to evaluate the clinical significance of abnormal UDS findings in predicting underlying tethered cord syndrome (TCS).Overview of Literature: An abnormal UDS finding is commonly found in patients with CSC. However, there is no consensus regarding its prevalence in patients with ISC.Methods: Using the STROBE checklist for cross-sectional studies, 110 patients with scoliosis were selected based on our inclusion and exclusion criteria. Among the patients, 76 presented with ISC and 34 with CSC. Demographic data and other details, such as the results of spine radiography, UDS, and magnetic resonance imaging of the spine in both supine and prone positions, were recorded and analyzed.Results: Approximately 50% of patients with CSC had normal UDS findings; 8.8%, mild impairment; and 41.2%, significant abnormalities. Moreover, 67.1% of patients with ISC had normal UDS findings; 9.2%, mild impairment; and 23.7%, significant abnormalities (p =0.166). TCS was identified in 38.2% and 26.3% of patients with CSC and ISC, respectively (p =0.571). In patients with ISC, a significantly abnormal UDS finding indicated that the risk of TCS increased from 26.3% to 50% (odds ratio [OR], 4.2; p =0.009). Meanwhile, in patients with CSC, the risk was almost similar (OR, 0.8; p =0.8).Conclusions: Even with the absence of subjective urinary symptoms, subclinical urologic impairments can be observed in a significant number of patients with ISC. An abnormal UDS finding can be a sign of underlying spinal cord tethering in a patient with ISC who is a candidate for corrective spine surgery even though it is an independent variant and is not exclusive to candidates for surgery. This finding has high clinical utility for neuro- and ortho-spine surgeons who aim to correct scoliosis (OR, 4.2; p =0.009).
#Scoliosis #Tethered cord syndrome #Urodynamics #Magnetic resonance imaging

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참고문헌 (15)

참고문헌 신청
Mohammadi P / 2014 / Comparison of respiratory muscles activity and exercise capacity in patients with idiopathic scoliosis and healthy individuals / Physiother Theory Pract 30:552~556 google schola Yaman O / 2014 / Idiopathic scoliosis / Turk Neurosurg 24:646~657 google schola Burnei G / 2015 / Congenital scoliosis : an up-to-date / J Med Life 8:388~397 google schola Shakil H / 2014 / Scoliosis : review of types of curves, etiological theories and conservative treatment / J Back Musculoskelet Rehabil 27:111~115 google schola Winter RB / 1995 / The surgical treatment of congenital spine deformity : general principles and helpful hints / Iowa Orthop J 15:79~94 google schola

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