European Spine Journal

, Volume 16, Issue 10, pp 1629–1635 | Cite as

Scoliosis associated with syringomyelia: analysis of MRI and curve progression

  • Jin Sup Yeom
  • Choon-Ki Lee
  • Kun-Woo Park
  • Jae Hyup Lee
  • Dong-Ho Lee
  • Kyu-Chang Wang
  • Bong-Soon Chang
Original Article


Little is known about the natural history of scoliosis found in patients with syringomyelia, including the factors affecting scoliosis curve progression and the effect of syrinx drainage treatment. Twenty patients having scoliosis with syringomyelia diagnosed by MRI were followed up for 6.6 (range 2.0–12.6) years on an average. Various factors potentially influencing curve pattern or progression in these patients were then retrospectively reviewed. The convex side of major curve of scoliosis tended to be on the same side as the syrinx and as the unilateral neurologic abnormality. No correlation was found between the location and the size of the syrinx and the location and size of the major curve of the scoliosis, or between the severity of neurologic deficit and the size of the major curve of the scoliosis. In patients under the age of ten at the time of diagnosis of scoliosis and with a flexible curve, decompression of the syrinx improved or stabilized scoliosis. In most patients over the age of ten, surgical treatment of the scoliosis was necessary because of the large initial size of the curve or progression of the curve even after syrinx drainage. Other factors including gender, location of the syrinx, type of the curve, and severity of neurologic deficits did not correlate with the progression of the curve. The results of this retrospective study suggest that early diagnosis and decompression of a syrinx in scoliosis patients especially under the age of ten is crucial and may decrease the curve size and limit scoliosis curve progression.


Scoliosis Syringomyelia MRI Syrinx drainage 


  1. 1.
    Alexander MA, Bunch WH, Ebbesson SO (1972) Can experimental dorsal rhizotomy produce scoliosis? J Bone Joint Surg 54-A:1509–1513Google Scholar
  2. 2.
    Alvisi C, Cerisoli M (1984) Long term results of the surgical treatment of syringomyelia. Acta Neurochir 71:133–140CrossRefGoogle Scholar
  3. 3.
    Baker AS, Dove J (1983) Progressive scoliosis as the first presenting sign of syringomyelia. J Bone Joint Surg 65-B:472–473Google Scholar
  4. 4.
    Brockmeyer D, Gollogly S, Smith JT (2003) Scoliosis associated with Chiari I malformations: the effect of suboccipital decompression on scoliosis curve progression: a preliminary study. Spine 28(22):2505–2509PubMedCrossRefGoogle Scholar
  5. 5.
    Charry O, Koop S, Winter R, Lonstein J, Denis F, Bailey W (1994) Syringomyelia and scoliosis: a review of twenty-five pediatric patients. J Pediatr Orthop 14:309–317PubMedGoogle Scholar
  6. 6.
    Chuma A, Kitahara H, Minami S, Goto S, Takaso M, Moriya H (1997) Structural scoliosis model in dogs with experimental induced syringomyelia. Spine 22:589–595PubMedCrossRefGoogle Scholar
  7. 7.
    Coonrad RW, Richardson WJ, Oakes WJ (1985) Left thoracic curves can be different. Orthop Trans 9:126–127Google Scholar
  8. 8.
    Eule JM, Erickson MA, O’Brien MF, Handler M (2002) Chiari I malformation associated with syringomyelia and scoliosis: a twenty-year review of surgical and nonsurgical treatment in a pediatric population. Spine 27(13):1451–1455PubMedCrossRefGoogle Scholar
  9. 9.
    Farley FA, Song KM, Birch JG, Browne R (1995) Syringomyelia and scoliosis in children. J Pediatr Orthop 15:187–192PubMedGoogle Scholar
  10. 10.
    Farley FA, Puryear A, Hall JM, Muraszko K (2002) Curve progression in scoliosis associated with Chiari I malformation following suboccipital decompression. J Spinal Disord Tech 15(5):410–414PubMedGoogle Scholar
  11. 11.
    Gardner JW, Collis JS (1960) Skeletal anomalies associated with syringomyelia, diastematomyelia, and myelomeningocele. J Bone Joint Surg 42-A:1265Google Scholar
  12. 12.
    Ghanem IB, Londono C, Delalande O, Dubousset JF (1997) Chiari I malformation associated with syringomyelia and scoliosis. Spine 22:1313–1318PubMedCrossRefGoogle Scholar
  13. 13.
    Gurr KR, Taylor TK, Stobo P (1988) Syringomyelia and scoliosis in childhood and adolescence. J Bone Joint Surg 70-B:159Google Scholar
  14. 14.
    Huebert HT, Mackinnon WB (1969) Syringomyelia and scoliosis. J Bone Joint Surg 51-B:338–343Google Scholar
  15. 15.
    Isu T, Iwasaki Y, Akino M, Abe H (1990) Hydrosyringomyelia associated with a Chiari I malformation in children and adolescents. Neurosurgery 26:591–597PubMedCrossRefGoogle Scholar
  16. 16.
    Lewonowski K, King JD, Nelson MD (1992) Routine use of magnetic resonance imaging in idiopathic scoliosis patients less than eleven years of age. Spine 17:S109–S116PubMedCrossRefGoogle Scholar
  17. 17.
    Logue V, Edwards MR (1981) Syringomyelia and its surgical treatment—an analysis of 75 patients. J Neurol Neurosurg Psychiatr 44:273–284PubMedCrossRefGoogle Scholar
  18. 18.
    Nordwall A, Wikkelso C (1979) A late neurologic complication of scoliosis surgery in connection with syringomyelia. Acta Orthop Scand 50:407–410PubMedCrossRefGoogle Scholar
  19. 19.
    Özerdemoglu RA, Transfeldt EE, Denis F (2003) Value of treating primary causes of syrinx in scoliosis associated syringomyelia. Spine 28(8):806–814PubMedCrossRefGoogle Scholar
  20. 20.
    Phillips WA, Hensinger RN, Kling TF (1990) Management of scoliosis due to syringomyelia in childhood and adolescence. J Pediatr Orthop 10:351–354PubMedGoogle Scholar
  21. 21.
    Sengupta DK, Dorgan J, Findlay GF (2000) Can hindbrain decompression for syringomyelia lead to regression of scoliosis? Eur Spine J 9:198–201PubMedCrossRefGoogle Scholar
  22. 22.
    Tomlinson RJ, Wolfe MW, Nadall JM, Bennett JT, MacEwen GD (1994) Syringomyelia and developmental scoliosis. J Pediatr Orthop 14:580–585PubMedGoogle Scholar
  23. 23.
    Weber FA (1974) The association of syringomyelia and scoliosis. J Bone Joint Surg 56-B:589Google Scholar
  24. 24.
    Williams B (1979) Orthopaedic features in the presentation of syringomyelia. J Bone Joint Surg 61-B:314–323Google Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Jin Sup Yeom
    • 1
  • Choon-Ki Lee
    • 1
  • Kun-Woo Park
    • 1
  • Jae Hyup Lee
    • 1
  • Dong-Ho Lee
    • 2
  • Kyu-Chang Wang
    • 3
  • Bong-Soon Chang
    • 1
  1. 1.Orthopedic SurgerySeoul National University College of MedicineSeoulSouth Korea
  2. 2.Orthopedic SurgeryUniversity of Ulsan, College of MedicineSeoulSouth Korea
  3. 3.Seoul National University College of Medicine, NeurosurgerySeoulKorea

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