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Query: UMLS:C0700208 (scoliosis)
 8,574 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Five hundred and thirty-eight cases of spine (298) and limb (240) pain problems were coded for spine x-ray abnormality (congenital, scoliosis, straightening, and degenerative joint disease). Analysis reveals that the limb pain cases (97 upper and 143 lower) when compared with the spine pain cases (45 cervical and 253 lumbar) have fewer normal spine x-rays with a greater incidence of degenerative joint disease in the limb pain cases and a greater incidence of straightening in younger spine and limb pain cases. Excluding 107 disability cases increases these tendencies. A group of 191 women who have had x-rays every five years are studied for controls and show a much lower incidence of x-ray changes. These data support a diagnosis of referred pain from the spine as a significant possibility in the idiopathic limb pain problem case.
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PMID:Spine x-ray abnormalities in idiopathic limb pain problems. Study notes possibility pain may be referred. 296 97

This study reviews spinal cord abnormalities found in children initially referred for an orthopedic problem. Over a 5-year period in an academic pediatric orthopedic referral clinic, 167 children aged 3 months to 18 years (average, 9.4 years) underwent spine magnetic resonance imaging (MRI) scans and had records available for review. The patients were divided into 7 major groups based on the primary indication for the MRI. The frequency of spinal cord pathology was as follows: 3 of 35 patients with atypical idiopathic scoliosis, 1 of 19 with neuromuscular scoliosis, 6 of 18 with congenital scoliosis, 1 of 50 with unexplained back pain, 3 of 17 with gait abnormality, 5 of 14 with limb pain or weakness, and 4 of 8 with rigid or recurrent foot deformity. Spine MRI was not very helpful in evaluating children who had some degree of back pain without neurological signs or symptoms. However, the spine MRI was helpful in evaluating children with atypical idiopathic scoliosis or congenital scoliosis, gait abnormality, limb pain or weakness, or rigid or recurrent foot deformities. Given the high frequency of occult spinal cord abnormality in children with severe foot deformity, the use of screening spine MRI may be especially useful in this group.
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PMID:Occult spinal cord abnormalities in children referred for orthopedic complaints. 1476 93