Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis

Alfred E. Geissele, Bruce E Van Dam, Ltc Mark J Kransdorf, Carla Geyer, James S. Jelinek

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

The cause of adolescent idiopathic scoliosis remains an enigma. Several studies have demonstrated abnormalities of posture, proprioception, and equilibrium control in patients with adolescent idiopathic scoliosis. These func-tions are integrated by structures in and around the brain stem. Twenty-seven patients with adolescent idiopathic scoliosis were studied with magnetic resonance imaging to delineate the anatomy of the brain stem in such patients. Imaging was conducted from the hypothalamus to the spinal cord at C3 in 26 patients; the remaining patient underwent an incomplete study because of a claustro-phobic reaction. The study group consisted of 25 females and 2 males with an average age of 16 + 5 years. There were 19 right thoracic curves, 5 thoracolumbar curves, and 3 left lumbar curves. The mean primary curve size was 27° at the most recent clinical evaluation. Seven patients were treated with observation, 14 with bracing, and 6 with surgeiy. The magnetic resonance imaging studies were read independently by three attending radiologists in a randomized, blinded fashion along with the magnetic resonance imaging studies of 11 controls. Asymmetry in the ventral pons or medulla in the area of the corticospinal tracts was noted in seven study patients and one control; one study patient had an enlarged cisterna magna and one an inconclusive (incomplete) study. These findings may support previous studies that have suggested a central nervous system abnormality as a cause of adolescent idiopathic scoliosis.

Original languageEnglish (US)
Pages (from-to)761-763
Number of pages3
JournalSpine
Volume16
Issue number7
StatePublished - 1991
Externally publishedYes

Fingerprint

Scoliosis
Brain Stem
Magnetic Resonance Imaging
Cisterna Magna
Nervous System Malformations
Proprioception
Pyramidal Tracts
Pons
Posture
Hypothalamus
Spinal Cord
Anatomy
Thorax
Central Nervous System
Observation

Keywords

  • Brain anatomy
  • Brain stem function
  • Idiopathic scoliosis
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine
  • Physiology

Cite this

Geissele, A. E., Dam, B. E. V., Kransdorf, L. M. J., Geyer, C., & Jelinek, J. S. (1991). Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis. Spine, 16(7), 761-763.

Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis. / Geissele, Alfred E.; Dam, Bruce E Van; Kransdorf, Ltc Mark J; Geyer, Carla; Jelinek, James S.

In: Spine, Vol. 16, No. 7, 1991, p. 761-763.

Research output: Contribution to journalArticle

Geissele, AE, Dam, BEV, Kransdorf, LMJ, Geyer, C & Jelinek, JS 1991, 'Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis', Spine, vol. 16, no. 7, pp. 761-763.
Geissele AE, Dam BEV, Kransdorf LMJ, Geyer C, Jelinek JS. Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis. Spine. 1991;16(7):761-763.
Geissele, Alfred E. ; Dam, Bruce E Van ; Kransdorf, Ltc Mark J ; Geyer, Carla ; Jelinek, James S. / Magnetic resonance imaging of the brain stem in adolescent idiopathic scoliosis. In: Spine. 1991 ; Vol. 16, No. 7. pp. 761-763.
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