Kyphoscoliosis



Kyphoscoliosis


Julia Crim, MD



DIFFERENTIAL DIAGNOSIS


Common



  • Traumatic



    • Burst Thoracolumbar Fracture


    • Lateral Compression Fracture, Lumbar


    • Lateral Compression Fracture, Thoracic


    • Lateral Flexion Injury, Cervical


    • Chance Fracture, Thoracic


  • Congenital



    • Congenital Scoliosis and Kyphosis


    • Failure of Vertebral Formation


    • Klippel-Feil Spectrum


    • Partial Vertebral Duplication


    • Tethered Spinal Cord


    • Caudal Regression Syndrome


  • Idiopathic Scoliosis,


  • Scheuermann Disease


  • Neuromuscular Scoliosis


  • Juvenile Idiopathic Arthritis


  • Idiopathic Kyphosis


  • Kyphosis Normal in Infants


Less Common



  • Infection



    • Pyogenic Osteomyelitis


    • Granulomatous Osteomyelitis


    • Prevertebral Abscess


    • Postoperative Infection


  • Tumor



    • Osteoid Osteoma


    • Osteoblastoma


    • Aneurysmal Bone Cyst


    • Ewing Sarcoma


    • Langerhans Cell Histiocytosis


  • Syringomyelia


  • Neurofibromatosis Type 1


  • Connective Tissue Disorders


  • Postoperative Spinal Complications


  • Diastematomyelia


Rare but Important



  • Post-Radiation


ESSENTIAL INFORMATION


Key Differential Diagnosis Issues



  • MR may be useful in certain cases



    • Painful scoliosis: Tumor, infection


    • Atypical curve: Often have underlying bony or neural abnormalities


    • Congenital scoliosis: Assess full extent of bony abnormalities


  • CT useful to characterize congenital scoliosis

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Aug 10, 2016 | Posted by in PEDIATRICS | Comments Off on Kyphoscoliosis

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