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Unusual presentation of vertebral endplate Modic changes in congenital scoliosis associated with pain: a report of two cases

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Abstract

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.

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References

  1. Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR (1988) Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology 166(1 Pt 1):193–199. doi:10.1148/radiology.166.1.3336678

    Article  CAS  PubMed  Google Scholar 

  2. de Roos A, Kressel H, Spritzer C, Dalinka M (1987) MR imaging of marrow changes adjacent to end plates in degenerative lumbar disk disease. AJR 149(3):531–534. doi:10.2214/ajr.149.3.531

    Article  PubMed  Google Scholar 

  3. Modic MT, Masaryk TJ, Ross JS, Carter JR (1988) Imaging of degenerative disk disease. Radiology 168(1):177–186. doi:10.1148/radiology.168.1.3289089

    Article  CAS  PubMed  Google Scholar 

  4. Wu HL, Ding WY, Shen Y, Zhang YZ, Guo JK, Sun YP, Cao LZ (2012) Prevalence of vertebral endplate Modic changes in degenerative lumbar scoliosis and its associated factors analysis. Spine 37(23):1958–1964. doi:10.1097/BRS.0b013e31825bfb85

    Article  PubMed  Google Scholar 

  5. Aebi M (2005) The adult scoliosis. Eur Spine J 14(10):925–948. doi:10.1007/s00586-005-1053-9

    Article  PubMed  Google Scholar 

  6. Barnes PD, Brody JD, Jaramillo D, Akbar JU, Emans JB (1993) Atypical idiopathic scoliosis: MR imaging evaluation. Radiology 186(1):247–253. doi:10.1148/radiology.186.1.8416573

    Article  CAS  PubMed  Google Scholar 

  7. Thompson GH (1994) Back pain in children. Instr Course Lect 43:221–230

    CAS  PubMed  Google Scholar 

  8. Modic MT (2007) Modic type 1 and type 2 changes. J Neurosurg Spine 6(2):150–151. doi:10.3171/spi.2007.6.2.150 (discussion 151)

    Article  PubMed  Google Scholar 

  9. Karchevsky M, Schweitzer ME, Carrino JA, Zoga A, Montgomery D, Parker L (2005) Reactive endplate marrow changes: a systematic morphologic and epidemiologic evaluation. Skeletal Radiol 34(3):125–129. doi:10.1007/s00256-004-0886-3

    Article  PubMed  Google Scholar 

  10. Jensen TS, Kjaer P, Korsholm L, Bendix T, Sorensen JS, Manniche C, Leboeuf-Yde C (2010) Predictors of new vertebral endplate signal (Modic) changes in the general population. Eur Spine J 19(1):129–135. doi:10.1007/s00586-009-1184-5

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery and Physical Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkla, Thailand

    Koopong Siribumrungwong

  2. Department of Orthopaedic, University of California, Davis, Sacramento, CA, USA

    Sachin Gupta & Munish C. Gupta

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  1. Koopong Siribumrungwong
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  2. Sachin Gupta
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  3. Munish C. Gupta
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Correspondence to Munish C. Gupta.

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Siribumrungwong, K., Gupta, S. & Gupta, M.C. Unusual presentation of vertebral endplate Modic changes in congenital scoliosis associated with pain: a report of two cases. Eur Spine J 25 (Suppl 1), 94–99 (2016). https://doi.org/10.1007/s00586-015-4156-y

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