The progression of untreated lumbar kyphosis and the compensatory thoracic lordosis in myelomeningocele

The progression of untreated lumbar kyphosis and the compensatory thoracic lordosis in myelomeningocele

Radiographs of 37 patients with untreated lumbar kyphosis without congenital vertebral anomalies associated with myelomeningocele were analyzed. With an average interval between radiographs of 6.2 years, the kyphosis was noted to increase at a mean rate of 4.3o per year without correlation to its in...

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Bibliographic Details
Published in:Developmental medicine and child neurology Vol. 39; no. 5; pp. 326 - 330
Main Authors: MD, Thomas Doers, MD, Janet L Walker, MD, Keith D van den Brink, MD, David B Stevens
Format: Journal Article
Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01-05-1997
Subjects:
Adaptation, Physiological
Adolescent
Child
Child, Preschool
Disease Progression
Female
Follow-Up Studies
Humans
Infant
Kyphosis - diagnostic imaging
Kyphosis - etiology
Kyphosis - physiopathology
Lordosis - diagnostic imaging
Lordosis - etiology
Lordosis - physiopathology
Male
Meningomyelocele - complications
Predictive Value of Tests
Radiography
Retrospective Studies
Risk Factors
Time Factors
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Description
Summary:Radiographs of 37 patients with untreated lumbar kyphosis without congenital vertebral anomalies associated with myelomeningocele were analyzed. With an average interval between radiographs of 6.2 years, the kyphosis was noted to increase at a mean rate of 4.3o per year without correlation to its initial magnitude. The compensatory lordosis was more variable and progressed at a mean of 2.5o per year. Children under the age of 2 years were more likely to increase the Cobb angle and the height of their kyphosis. There was an inverse relationship between the height of the kyphus and the lumbar spine height and the resultant growth of each. A modified kyphotic index less than 4. correlated with an increase in the curve and height of the kyphosis and the subsequent desire for surgery. Wide variablity in radiographic parameters make predictions for an individual patient difficult.
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ISSN:0012-1622
1469-8749
DOI:10.1111/j.1469-8749.1997.tb07439.x