TY - JOUR
T1 - Unusual presentation of vertebral endplate Modic changes in congenital scoliosis associated with pain
T2 - a report of two cases
AU - Siribumrungwong, Koopong
AU - Gupta, Sachin
AU - Gupta, Munish C.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Congenital scoliosis is not normally associated with pain in young children. We are presenting two cases of young patients with congenital scoliosis and moderate to severe pain. There were no spinal cord abnormalities found in these patients. The magnetic resonance imaging and CT scan revealed disc degeneration with Modic changes at the apex of the congenital scoliosis. We hypothesized that the mechanical instability resulting from poor spinal element formations associated with congenital scoliosis was responsible for causing the disc degeneration and endplate changes. Modic changes have been reported to be associated with pain in degenerative conditions of the spine. Both patients underwent a posterior spinal fusion and instrumentation, which relieved their pain immediately.
AB - Congenital scoliosis is not normally associated with pain in young children. We are presenting two cases of young patients with congenital scoliosis and moderate to severe pain. There were no spinal cord abnormalities found in these patients. The magnetic resonance imaging and CT scan revealed disc degeneration with Modic changes at the apex of the congenital scoliosis. We hypothesized that the mechanical instability resulting from poor spinal element formations associated with congenital scoliosis was responsible for causing the disc degeneration and endplate changes. Modic changes have been reported to be associated with pain in degenerative conditions of the spine. Both patients underwent a posterior spinal fusion and instrumentation, which relieved their pain immediately.
KW - Congenital scoliosis
KW - Disc degeneration
KW - Modic changes
UR - http://www.scopus.com/inward/record.url?scp=84941687291&partnerID=8YFLogxK
U2 - 10.1007/s00586-015-4156-y
DO - 10.1007/s00586-015-4156-y
M3 - Article
C2 - 26370390
AN - SCOPUS:84941687291
SN - 0940-6719
VL - 25
SP - 94
EP - 99
JO - European Spine Journal
JF - European Spine Journal
ER -