Turkish Neurosurgery
The incidence and interrelationship of concomitant anomalies in congenital scoliosis
Ahmet Sevencan1, Abdulhamit Misir1, Hanifi Ucpunar2, Mehmet Bülent Balioğlu3, Volkan Gür1, Suayıp Akıncı4
1Sanliurfa Training and Research Hospital, Department of Orthopaedics and Traumatology, Sanlıurfa,
2Erzincan University Faculty of Medicine, Department of Orthopaedics and Traumatology, Erzincan,
3Istinye University, Department of Orthopaedics and Traumatology, istanbul,
4Baltalimani Bone and Joint Diseases Training and Research Hospital, Department of Orthopaedics and Traumatology, istanbul,
DOI: 10.5137/1019-5149.JTN.24429-18.2
Aim:This study aimed to report the incidence and interrelationship of concomitant anomalies in congenital scoliosis (CS) patients.Material and Methods:Whole-spine computed tomography and magnetic resonance imaging (MRI) examination, echocardiography, and renal ultrasonography (USG) evaluations of 231 patients with CS were reviewed. Additionally, intraspinal pathologies and structural cardiac and renal anomalies were recorded.Results:The incidence of intraspinal pathology was 53.7%. Echocardiography was performed in 140 of 231 patients, and congenital heart disease was detected in 38 patients. Renal USG was performed in 133 of 231 patients, and a renal disease was detected in 37 patients. In 133 patients, spinal MRI, echocardiography, and renal USG were performed. In 22 of 67 (32.8%) patients with an intraspinal anomaly, an additional cardiac anomaly was detected. In 27 of 67 (40.3%) patients with an intraspinal anomaly, an additional renal anomaly was detected. In 47.3% of patients with a cardiac anomaly, an additional renal anomaly was detected. In 15 of 133 patients (11.2%) intraspinal, cardiac, and renal anomalies were identified.Conclusion:Surgeons should evaluate additional anomalies in CS if patients report having a congenital anomaly. Because cardiac and renal anomalies increase intra- and postoperative complication risks, a careful and comprehensive preoperative evaluation is needed.
Corresponding author : Hanifi Ucpunar