Evidence map›Paper›PMID 39838245›Full record

ArticleSpine deformity2025

Current practices in MRI screening in early onset scoliosis.

Austin W Li, Alexander Chang, Joshua S Murphy, Ying Li, Benjamin Roye, Christina K Hardesty, Michael P Glotzbecker, Pediatric Spine Study Group

Abstract read
In one paragraph

Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Austin W LiCase Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Alexander ChangPediatric Orthopedic Surgery, George H Thompson Chair in Pediatric Orthopaedics, Rainbow Babies and Childrens Hospital, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Joshua S MurphyDepartment of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
Ying LiDepartment of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Benjamin RoyePediatric Orthopedics and Spinal Deformity, Columbia University, New York City, NY, USA.
Christina K HardestyCase Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Michael P GlotzbeckerCase Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Michael.glotzbecker@uhhospitals.org.ORCID http://orcid.org/0000-0003-0310-4481
Pediatric Spine Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly onset scoliosis (EOS) has traditionally been an indication for MRI because of its association with neural axis abnormalities (NAAs). Because these abnormalities are often clinically silent and concerns regarding sedation in young children are growing, routine MRI for EOS is debated. This study investigates the current practices of EOS MRI screening among surgeons in the Pediatric Spine Study Group (PSSG).

methodsA survey assessing EOS MRI practices was distributed to the PSSG. The survey presented scenarios that varied in age, curve size, and diagnosis and asked which scenarios would indicate an MRI. Respondents also ranked age, curve progression, etiology, and need for sedation by level of importance when considering to order MRI.

resultsAge and curve progression were ranked as the most important factors when deciding to order MRI. For all non-congenital scoliosis, increased age and curve size were associated with increased rates of MRI among respondents. For idiopathic EOS, more than 60% of respondents would order MRI for patients with curve magnitudes of 45° regardless of age. All respondents would order MRI for congenital EOS before surgery and for EOS caused by neurofibromatosis. For EOS secondary to cerebral palsy, 61% of respondents would order an MRI, and 34% believe that EOS and Prader-Willi syndrome require MRI.

conclusionOur results indicate that the MRI screening practices for EOS vary greatly between physicians, as expected. Future research on the prevalence of NAAs in EOS and the clinical outcomes of routine MRI is needed to inform which MRI practices should be standard.

Indexed as

Magnetic Resonance ImagingPractice Patterns, Physicians'ScoliosisAge of OnsetChildChild, PreschoolDisease ProgressionFemaleHumansMaleMass ScreeningSurveys and QuestionnairesEarly onset scoliosisMRI screening practicesNeural axis abnormalitiesSyndromic scoliosis

Identifiers

PMID39838245
PMCPMC12021731

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.