Skip to main content

Development of scoliosis in myelomeningocele. Differences in the history caused by idiopathic pattern

Abstract

The natural history of scoliosis in the literature concerning the idiopathic and neuromuscular scoliosis in myelomeningocelet patients (MMC) are compared to our own results in 12 patients with MMC and 89 patients operated because of an idiopathic scoliosis. According to known experiences the natural history of scoliosis in MMC is progression even after the end of growth. The chance of developing a scoliosis increases with the patients, age and the level of the lesion. The higher the level of paralysis the more common is a spinal deformity. In literature the progression rate of MMC scoliosis is 2,5–3,5° per year, with the idiopathic pattern 0,5–0,65° per year after end of growth. Our own results of surgically treated patients show a rate of progression of 6,2° per year in MMC. The surgical treatment must start before a severe spinal deformity has developed because of the higher rate of operative complications.

This is a preview of subscription content, access via your institution.

References

  1. Banta J, S Whiteman, PM Dyck, DL Hartleib, D Gilbert: Fifteen year review of myelodysplasia. J Bone Jt Surg 58-A (1976) 726

    Google Scholar 

  2. Barden GA, LC Meyer, FH Stelling III: Myelodysplastic—Fate of those followed for twenty years or more. J Bone Jt Surg 57-A (1975) 643

    Google Scholar 

  3. Beyeler J. Progredienz und Symptomatik bei Lumbalskoliosen. Vortrag gehalten auf der Sitzung des Arbeitskreises Skoliose anläßlich der 25. Jahrestagung der Vereinigung Süddeutscher Orthopäden in BadenBaden am 30. 4. 1977

  4. Bunch WH: Myelomeningocele. In: Lovell W, R Winter (Eds): Pediatric Orthopedics. Lippincott, Philadelphia 1986

    Google Scholar 

  5. Bunch WM, TB Scarff, V Dvonch: Progressive neurological loss in myelomeningocele patients. Orthop Trans 5 (1981) 32

    Google Scholar 

  6. Bunnell WP The natural history of idiopathic scoliosis. In: supplementary programm, 19th Annual Meeting of the Scoliosis Research Society, Orlando 49–52 (1984)

  7. Carstens C, J Vetter, U Niethard: Die Entwicklung der Lähmungsscoliose bei der Myelomeningocele. Z Orthop 128 (1990) 174

    Google Scholar 

  8. Clarisse P: Prognostic evolutif des scolioses idiopathiques mineures de 10 degrees to 29 degrees en periode de croissance. Doctoral thesis, Univ. Claude Bernard, Lyon 1974

  9. Cobb JR: Outline for the study of scoliosis. Am Acad Orthop 5 (1948) 261

    Google Scholar 

  10. Collis DK, IV Ponseti: Long-term follow-up of patients with idiopathic scoliosis not treated surgically. J Bone Jt Surg 51-A (1969) 425

    Google Scholar 

  11. Hall PF: Abortion of fetuses with spina bifida? (Letter) Can Med Assoc J 121 (1979) 846

    PubMed  Google Scholar 

  12. Hall PV, RE Lindseth, RK Campbell, JE Kalsbeck: Myelodysplasia and developmental scoliosis: a manifestation of syringomyelia. Spine 1 (1976) 48

    Google Scholar 

  13. Heine J, H Reher: Die Progredienz der unbehandelten idiopathischen Skoliose bis Wachstumsabschluß. Z Orthop 113 (1975) 87

    Google Scholar 

  14. Heine J: Die Lumbalskoliose, Ferdinand Enke Verlag, Stuttgart 64–71 (1980)

    Google Scholar 

  15. Lonstein JE, JM Carlson: The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Jt Surg 66-A (1984) 1061

    Google Scholar 

  16. Mackel J, R Lindseth: Scoliosis in Myelodysplasia. J Bone Jt Surg 57-A (1975) 1031

    Google Scholar 

  17. Moe JH, JA Byrd: Idiopathic scoliosis. In: Bradford D, J Lonstein, JH Moe, J Ogilvie, R Winter (Eds): Moe's Textbook of scoliosis and other spinal deformities. WB Saunders Company, Philadelphia 1987

    Google Scholar 

  18. Moe JH, RB Winter, DS Bradford, JE Lonstein: Scoliosis and other spinal deformities. WB Saunders, Philadelphia 1978

    Google Scholar 

  19. Niethard FU, J Pfeil: Orthopädie. Hippokrates Verlag. Stuttgart 1989

    Google Scholar 

  20. Peyer J: Die Skoliose beim Erwachsenen. Z Orthop 113 (1975) 577

    Google Scholar 

  21. Pigott H: The natural history of scoliosis in myelodysplasia. J Bone Jt Surg 62-B (1980) 54

    Google Scholar 

  22. Raycroft J, B Curtis: Spinal curvature in MMC: natural history and etiology. Proceedings of the Academy of Orthopedic Surgeons: Symposium on MMC. CV Mosby, St. Louis 1972

    Google Scholar 

  23. Rogala EH, D Drummond, J Gurr: Scoliosis: incidence and natural history, a prospective epidemiological study. J Bone Jt Surg 60-A (1978) 173

    Google Scholar 

  24. Roth K: Spinal deformities in myelomeningocele: a radiologic assessment. In: Harrington PR (Ed). Scoliosis. Lippincott, Philadelphia 1971

    Google Scholar 

  25. Shurtleff D, R Goiney, L Gordon, N Livermore. Myelodysplasia: the natural history of kyphosis and scoliosis. A preliminary report. Dev Med Child Neurol 18 (1976) 126

    Google Scholar 

  26. Tachdjian MO: Pediatric Orthopedics, Vol 1, WB Saunders Company, Philadephia 1773–1871 (1990)

    Google Scholar 

  27. Winter RB: Myelomeningocele. In: Bradford D, J Lonstein, J Moe, J Ogilvie, RB Winter (Eds). Moe's Textbook of scoliosis and other spinal deformities. WB Saunders Company, Philadelphia 1987

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Eysel, P., Hopf, C., Schwarz, M. et al. Development of scoliosis in myelomeningocele. Differences in the history caused by idiopathic pattern. Neurosurg. Rev. 16, 301–306 (1993). https://doi.org/10.1007/BF00383841

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00383841

Keywords

  • Myelomeningocele
  • progression rate
  • scoliosis
  • spinal deformities