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One is not like the other: health quality of life scores vary in neuromuscular EOS by diagnosis.
Spine Deform
January 2025
Department of Orthopaedic Surgery, Scottish Rite Hospital for Children, Dallas, TX, USA.
Purpose: The etiology of early-onset scoliosis (EOS) has been shown to significantly influence baseline parent-reported health-related quality of life (HrQOL). In combining these etiology groups, we obligatorily lump together many disparate diagnoses, particularly true in the neuromuscular (NM) cohort. We sought to evaluate the influence of underlying neuromuscular diagnosis on the HrQOL at 5 years following surgery for EOS.
View Article and Find Full Text PDFPosttraumatic Spinal Cord Tethering and Syringomyelia: A Retrospective Investigation of Patients With Progressive Disease and Surgical Revisions.
Int J Spine Surg
January 2025
Spine and Orthopedic Surgery, Swiss Paraplegic Center, Nottwil, Switzerland
Background: Spinal cord tethering and syringomyelia after trauma are well-known pathologies in patients suffering from spinal cord injury (SCI). In symptomatic cases, various surgical options are available, but untethering and expansion duraplasty is the currently preferred treatment strategy. However, patient outcomes are usually limited by rather high rates of surgical revisions.
View Article and Find Full Text PDFSyringomyelia Mimicking as Bibrachial Variant of Motor Neuron Disease.
J Assoc Physicians India
December 2024
Resident, Department of Neurosurgery, Ravindra Nath Tagore Medical College, Udaipur, Rajasthan, India.
Introduction: Syringomyelia is a slowly progressive degenerative disorder of the spinal cord. Clinical features of syringomyelia vary from weakness in limbs to positive sensory symptoms and dissociative sensory loss. Thus, early and prompt diagnosis becomes crucial for reducing the morbidity associated with the disease.
View Article and Find Full Text PDFLong-term outcomes following posterior fossa decompression in pediatric patients with Chiari malformation type 1, a population-based cohort study.
Acta Neurochir (Wien)
November 2024
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Article Synopsis
- Posterior fossa decompression is a surgical procedure for Chiari malformation type I that can lead to complications and persistent symptoms in up to 20% of patients, especially in pediatric cases where prediction tools are lacking.
- A study of 71 pediatric patients with Chiari 1 found that motor deficits, surgical complications, and persistent hydrocephalus post-surgery were significant predictors of poor outcomes, while the presence of syringomyelia was associated with better outcomes.
- The findings highlight the need to consider these factors when evaluating potential surgical risks and what to expect in postoperative recovery for children undergoing this procedure.
Particularities of spasticity in myelomeningocele patients.
Childs Nerv Syst
December 2024
"C.N.S. Alliance" Research Group, Athens, Greece.
Article Synopsis
- Myelomeningocele (MMC) is a significant congenital defect affecting the central nervous system, often leading to spasticity in children, impacting about 20% of them.
- The article reviews causes and clinical manifestations of spasticity in MMC patients, highlighting issues like limb spasticity and neurogenic bladder that affect their mobility and quality of life.
- Effective management of spasticity can involve both medical and surgical treatments, emphasizing the importance of a multidisciplinary approach and early rehabilitation strategies for better outcomes.
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