Scoliosis in paediatric onset spinal cord injuries.
Spinal Cord
; 58(6): 711-715, 2020 Jun.
Article
en En
| MEDLINE
| ID: mdl-31959874
ABSTRACT
STUDY DESIGN:
This is a retrospective longitudinal review.OBJECTIVE:
The purpose of this review was to identify predictors of developing clinical scoliosis and compare between traumatic and neurological aetiologies of SCI.SETTING:
This study was conducted at the Midland Centre of SCI.METHOD:
Case notes of all patients injured at an age up to 18 years and admitted between 1971 and 2013 were reviewed.RESULTS:
Sixty-nine individuals were identified, of which seven were excluded three with pre-existing scoliosis and four with spina bifida. The remaining 62 (44 males, 18 females) had a median age at injury of 17 years (inter quartile range 13-17). Of these, 51 (82%) had traumatic and 11 (18%) had neurological injury. Most (42/51; 82%) of the children who had a traumatic injury were older than 13 years. The risk of developing scoliosis was lower for older patients (RR 0.68 per year, 95% CI 0.52-0.83) or following a traumatic injury (RR 0.36, 95% CI 0.20-0.66). A multivariable analysis based on age and trauma showed that only older age decreased the risk. A robust Receiver Operator Curve analysis suggested 14.6 years as the optimal threshold to predict development of scoliosis within 10 years (Area Under the Curve; AUC 0.83 (95% CI 0.73-0.93), sensitivity 70% (95% CI 50-89%), specificity 89% (95% CI 74-100%).CONCLUSION:
Our results suggest that age below 14.6 years was a predictor for scoliosis. Once adjustment is made for age, the incidence of scoliosis does not differ between traumatic and neurological aetiologies of paediatric SCI injury.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Escoliosis
/
Traumatismos de la Médula Espinal
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
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Incidence_studies
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Observational_studies
/
Prognostic_studies
Límite:
Adolescent
/
Child
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Female
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Humans
/
Male
Idioma:
En
Revista:
Spinal Cord
Asunto de la revista:
NEUROLOGIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Reino Unido