[Evaluation of the energy expenditure during walking in adolescent idiopathic scoliosis patients]

Scoliosis is one of the musculoskeletal disorders which influences the energy expenditure of patients during walking. In previous studies, metabolic cost of walking measured by oxymetry. Therefore, the aim of this study was to evaluate the energy expenditure of walking of the adolescent idiopathic scoliosis patients by use of monitoring the heart rate. This was observational comparative cross sectional study. Ten scoliotic patients and 10 normal subjects with comparable age, height and weight were recruited for this study. Energy consumption of walking in scoliotic and in normal subjects was evaluated using polar Electro Finland heart rate monitor. The heart rate during resting and walking and the walking speed were the parameters used for energy consumption based on the physiological cost index. The energy consumption of scoliotic subjects during walking based on PCI and THBI was higher than that of normal subjects, however, the difference was not statistically significant [p>0.05]. The results of this research showed that there was no significant difference between the PCI and THB index of normal and scoliotic subjects. Moreover, the walking speed of scoliotic patients did not influence by spinal deformation [p>0.05]

Total spine and posterior fossa MRI screening in adolescent idiopathic scoliosis [177 eases]

MRI screening for idiopathic scoliosis is controversial. Considering our clinical experiences, the results of MRI in all patients with idiopathic scoliosis were evaluated. In a prospective clinical study, all neurologically normal patients with idiopathic scoliosis screened by posterior fossa and total spine MRI. After excluding 9 patients for mild neurological findings, in other 177 patients [132 female, 45 male], the average age and curve angle was 15 +/- 2 years and 59 +/- 17 0.05]. Left convexity was significantly related to positive MRI findings [P=0.013]. In males with left convex curves, the probability of positive MRI findings was 8.8 folds other patients. Considering our results and other reported articles, it seems that routine MRI screening of all patients presenting as idiopathic scoliosis is necessary for detection of underlying pathologies

Osteoid osteoma of cervical spine in two adjacent vertebrae

Osteoid osteoma is a benign bone tumor, mainly seen in 10-30 years male. Spine is a relatively common site and almost always, posterior elements are involved. Plain X-Ray-, CT scan and Isotope scan help to identify and localize spine lesions. We described one 18 years old boy with 3 years low neck pain. Isotope scan, MRI and CT scan showed two lesions in C7 and T1. Gross inspection and histopathology examination confirmed osteoid osteoma in two adjacent vertebrae which has not been reported elsewhere in the literature