Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 24503
MAGNETIC RESONANS IMAGINE RESULTS OF SYNDROMIC
SCOLIOSIS/KYPHOSIS
Mehmet BALIOGLU, Aysegul BURSALI, Mehmet TACAL
Baltalimani Bone Disease Teaching Hospital, Istanbul (TURKEY)
PURPOSE: MRI results of patients with the rare scoliotic condition -syndromic
scoliosis/kyphosis- were evaluated to determine spine problems and related
complications. METHOD: 15 patients in our study were diagnosed with syndromic
scoliosis/kyphosis by genetic analysis. The average age was 13.13 (7-25) years, 9
male, 6 female. Pathologies of the entire spinal column and cord were evaluated with
MRI. RESULTS: 15 patients with syndromic scoliosis/kyphosis were evaluated and
diagnosed with the following syndromic conditions: Neurofibromatosis 4 patients,
Digorge syndrome 1 patient, Escobar syndrome 2, Eisenmenger syndrome 1, Marfan
syndrome 1, Genoderma Osteodistfrica 1, Larsen syndrome 1, Gilbert Syndrome 1,
Spondyloepiphysial dysplasia (SED) 1, 9p syndrome 1, 1p+ syndrome 1. The MRI
results of 12 of the 15 patients were evaluated. Of these 12 patients 6 (Digorge,
Eisenmenger and 1p+, Neurofibromatosis) were found normal. Of the remaining 6
patients the following conditions were diagnosed: Syringomyelia 3 (Escobar,
Genoderma Osteodistrofica, Gilbert) Posterior vertebral congenital fusion (Escobar)
2, Cerebellum minimal ectopia 1 (Marfan), Perineural cyst 1 (Geneoderma
osteodistrofica), distrofic alterations (SED) 1. In our study 4 patients showed
progressive scoliosis: 1 Escobar received posterior spinal instrumentation, 1 patient
(Eisenmenger) could not receive surgical treatment due to her cardiavascular
condition and 2 Neurofibromatosis received posterior spinal enstrumentation.
CONCLUSION: It is important to understand spinal cord and related pathologies
which accompany the relatively rare syndromic scoliosis/kyphosis. MRI provides
useful data in the evaluation of such pathologies and helps to define the treatment
and follow up of patients with syndromic scoliosis/kyphosis.
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