Study: MRI Not Cost-Effective for Diagnosing Idiopathic Scoliosis

The routine use of MRI as a screening tool for adolescent idiopathic scoliosis may not be efficient or cost-effective, according to a study published in Spine.

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Researchers reviewed 2,206 patients — 1,812 girls and 394 boys — who were entered into the Prospective Pediatric Scoliosis Study database. At total of 191 patients had juvenile idiopathic scoliosis, and a total of 923 patients underwent a spine MRI.

A total of 91 abnormalities were detected with the MRI, of which 39 were neural. There were 26 syringes, 12 Chiari malformations and one tethered cord. Patients undergoing the MRI most frequently had a thoracic hyperkyphosis, diagnosis of juvenile idiopathic scoliosis, Risser grade between zero and two, three major curves, were male and underwent a combined anterior-posterior approach.

The researchers found that an apex left thoracic curve, Risser less than or equal to one, large curve magnitude, triple major curve, male sex and obesity were not associated with neural abnormality, though these patients were often ordered an MRI.

Read the abstract on MRI for scoliosis.

Read other coverage on scoliosis:

– Rational Pattern Determines Idiopathic Scoliosis Curve

– Scoliosis Research Society’s Database on Morbidity and Mortality An Effective Benchmarking Tool


– Federal Government Launches Investigation Into Adult Scoliosis Treatment

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