Tibial nerve somato-sensory evoked potentials in idiopathic scoliosis
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2005, Vol 7, Issue 1
Abstract
Background. For many years the etiology of idiopathic scoliosis has been a topic of interest for researchers and clinicists.Material and methods. We examined somatosensory evoked potentials from the tibial nerves (tSSEP) in 120 children with idiopathic scoliosis, of whom 40 showed abnormal results and were retested by tSSEP one year later. The progressive nature of the scoliosis was evaluated on the basis of clinical and radiological examination. This group of 40 children was divided into two subgroups: Group I, consisting of 25 children with progressive scoliosis, and Group II, consisting of 15 children with non-progressive scoliosis. The groups were cross-referenced for one-curve scoliosis (21 children) and two-curve scoliosis (19 children). These children had been treated conservatively by asymmetrical three-plane trunk mobilization using the Dobosiewicz method. Results. Of the 40 children with abnormal results in the first tSSEP examination, 70% still had pathological recordings in the second examination. 65% of this group had progressive scoliosis, as compared to only 40.8% in the entire study population of 140 children. In the follow-up x-ray we found slight but statistically significant regressio of the Cobb angle and rotation. The radiological changes had no significant relation to changes in the tSSEPs. There was no statistically significant different in quantitative pathology on the tSSEPs between progressive and non-progressive scoliosis. Conclusions. These results may be an argument in favor of the hypothesis that idiopathic scoliosis results from a dysfunction of the sensory pathways.
Authors and Affiliations
Krystyna Dobosiewicz, Maria Flak, Jacek Durmała, Hanna Jendrzejek, Małgorzata Szota, Krzysztof Czernicki, Anna Jędrzejewska, Irena Dyner-Jama
Keywords
Related Articles
- EP ID EP56350
- DOI -
- Views 81
- Downloads 0
Porównawcza ocena wyników operacyjnego leczenia złamań dalszego końca kości promieniowej typu Smitha i Collesa
Wstęp. Celem badania jest ocena skuteczności operacyjnego leczenia złamań dalszego końca kości promieniowej, po otwartym nastawieniu i zespoleniu płytą kątowo-stabilną, w zależności od mechanizmu urazu – zgięciowego lub...
The Treatment of Intertrochanteric Fractures of the Femur with Endovis Nail
Dear Editor,further to the stimulating discussion between the Authors and some readers, we feel that some details about the paper we authored [1] should be clarified. For instance, we called the analyzed system Endovis w...
Arthroscopic evaluation of ultrasonography and magnetic resonance imaging for diagnosis of rotator cuff tear
IntroductionRotator cuff tear – diagnosis; comparison of MRI, ultrasonographic and arthroscopic findingsMethodsRetrospective study – 20 patients treated for shoulder pain due to rotator cuff tear, initially conservativel...
Analiza skuteczności terapeutycznej wybranych typów kolagenu w profilaktyce i leczeniu choroby zwyrodnieniowej stawów
Ubytek kolagenu jest zjawiskiem naturalnym w procesie starzenia organizmu, jak również potęgowanym w przypadku różnych chorób – w tym choroby zwyrodnieniowej stawów (ChZS).W ciągu ostatnich kilkunastu lat przeprowad...
Fatigue fracture of the femur after navigated total knee replacement.
We present a case of fatigue fracture of the femur after navigated total knee arthroplasty with the Orthopilot system. A 60-year-old woman with rheumatoid arthritis and osteoporosis (T-score = -3.1) reported increasing p...