Skolyozlu Bireylerde Skolyoza Ek Omurgadaki Farklı Anomalilerin Değerlendirilmesi

OpenAlex İngilizce

Introduction: Congenital vertebral anomalies are an important factor in the formation of scoliosis. Since the potential for progression is high in congenital scoliosis, early detection and different surgical intervention are important. Any surgical operation or conservative approach to fix scoliosis may result in serious neurologic complications due to position changes in the spinal cord. Therefore, detection of congenital anomalies before scoliosis reconstruction is important for clinical outcome. In this study, we aimed to investigate the incidence of congenital anomalies accompanying scoliosis and to evaluate the distribution of congenital anomalies according to age, gender, scoliosis region and Cobb angle value by using radiography, magnetic resonance and computed tomography images of individuals with scoliosis. Material and Methods: Our study was conducted retrospectively in 203 individuals diagnosed with scoliosis. Age, gender, scoliosis region with apical vertebrae, type of congenital anomaly and Cobb angle values were recorded. Cobb angle was evaluated by X-ray and vertebral congenital anomalies were evaluated by X-ray, computed tomography and magnetic resonance imaging. The differences between the measurements were determined by Chi-Square test using the SPSS (Statistical Package for Social Science, 22nd version, SPSS Inc. Chicago, USA) package program and p<0.05 was considered significant. Results: Congenital anomaly was detected in 19.2% of cases with scoliosis. Although scoliosis was most common in the 17-45 age group, congenital anomaly was most common in the 0-17 age group. The number of cases with scoliosis and accompanying congenital anomalies was higher in females compared to males. Hemivertebra in females and hemivertebra and block vertebra in males were observed more frequently than other types of congenital anomalies. It was observed that the number of congenital anomalies increased as the severity of Cobb angle increased in male and female scoliosis patients. Conclusion: In individuals with scoliosis, age, the location of scoliosis, the degree of Cobb angle and the presence of congenital anomalies are factors that affect the progression of curvature in the spine. Therefore, we think that our study may be useful for clinicians working in the field of spine health when evaluating the diagnosis and treatment of scoliosis. Keywords: Vertebrae, scoliosis, congenital anomaly, Cobb angle