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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXVII | Pages 25 - 25
1 Jun 2012
Rousie D Joly O Deroubaix J Baudrillard J Miller N Swindle K
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Introduction

At the Zorab Symposium in Oxford, 2006, we showed that semicircular canal (SCC) anomalies occurring with posterior basicranium asymmetry affect the oculovestibular system in human beings. As a consequence, we proposed the hypothesis of a descending direct vestibulospinal and cognitive top-down effect on some scoliosis. We will show that some SCC anomalies detected with MRI modelling are malformations frequently found in scoliosis.

Methods

445 patients (323 women, mean age 21 years; 122 men, mean age 24 years) with instability, imbalance, and spatial disorientation were submitted to T2 MRI modelling. 95 of 445 patients had scoliosis: 57 thoracolumbar scoliosis, 24 thoracic scoliosis, and 14 lumbar deformation. We processed the data acquired with G.E.MRI (1.5T), T2- 3D Fiesta with a set of Brainvisa modules (http://brainvisa.info/).


Orthopaedic Proceedings
Vol. 90-B, Issue SUPP_III | Pages 433 - 433
1 Aug 2008
Rousié D Joly O Vasseur J Salvetti P Deroubaix J Berthoz A
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Introduction: Several authors observed links between AIS and asymmetries as in function and anatomy, especially in the brain. Others described high frequency of AIS in patients suffering from craniofacial asymmetry (CFA). CFA involves asymmetry of Basicranium separating the face from the brain. Because of neurodevelopmental factors, CFA reflects brain growth. So, Posterior Basicranium (PB) asymmetry involves cerebellum asymmetry and spatial asymmetry of vestibular organs. In a previous study we highlighted that CFA was associated with functional anomalies: difficulty of fixation caused by ocular torsion, off balance caused by vestibular dysfunction, postural disorders.

Purpose: To explore AIS on different levels: PB, Eyes and Vestibular System.

Patients:

Control group (CG):32 subjects, 26W. & 6M., fr. 8 to 51.

AIS group (AISG):93 subjects, 77W. & 16M., fr. 6 to 63. AIS were classified according to

– Amplitude of spine deformation (d°) G1: 8 to10°, G2: 10 to 15°, G3:15 to 40°

– Location of deformation (Ponsetti class.): TL=thoracolumbar, T=thoracic, L=lumbar.

Methods: We used MRI (EXCITE G.E.) 1.5T, head coil, Volumic T2-weighted sequence.

Step1: 3D Basicranium measurements in both groups with Brainvisa processing: (http://brainvisa.info/)

Step2: 3D anatomical study of semicircular canals in both groups with original modelling software.

Discussion: Normal subjects revealed weak asymmetry and dorsoventral rotation of P.B & cerebellum

AIS showed a pathognomic increase of these Human traits. Inside AIS subgroups, TL & G3 revealed highest levels of asymmetry and rotation.

We will discuss, thanks to AIS homozygosis twins in mirror, genetic origins for these specific P.B. & Cerebellum asymmetries.

Modelling of semi-circular canals revealed significative malformations in AIS compared to normal group. Again, T.L. and G3 revealed highest scores of canals anomalies. We highlighted a specific malformation in AIS: abnormal connexion between lateral & posterior canal.

We will demonstrate, thanks to same AIS twins, genetic origins of this malformation and propose a genetic hypothesis to link the different results.

Conclusion: These specific anomalies could be considered as preventive factors of AIS. Work supported by Cotrel Fondation.