Akademik Veri Yönetim Sistemi
Journal of Turkish Spinal Surgery, cilt.34, sa.1, ss.1-7, 2023 (Scopus)
Objective: To investigate the presence of myofascial pain syndrome (MPS) in adolescent idiopathic scoliosis (AIS) and the relationship between the presence of MPS and coronal/sagittal alignment in participants with AIS. Materials and Methods: This was a prospective, cross-sectional study. Participants with AIS aged 10-18 years were included in the study and separated into two groups according to having MPS: AIS with MPS group and AIS without pain (non-MPS group). Participants’ demographic characteristics, Cobb angle, coronal balance, the presence of MPS, the location of the curve and pain, sagittal spinopelvic parameters [sagittal vertical axis, cervical lordosis (CL), thoracic kyphosis (TK), lumbar lordosis (LL), pelvic tilt, sacral slope, pelvic incidence], aesthetic evaluation, and visual analog scale results were evaluated and both groups were compared in terms of these parameters. Results: One hundred sixty eight participants diagnosed with AIS aged 10-18 years were included in the study. The mean age was 14.9±2.2 years. Participants were separated into two groups:the MPS group (n=106) and non-MPS group (n=62). The location of myofascial pain was more common in the lumbar (23.8%) and main thoracic regions (23.2%) in participants diagnosed with MPS. Age, Cobb angle, CL, TK, LL, and Trunk Aesthetic Clinical Evaluation tool (p=0.001, 0.018, 0.016, 0.024, 0.011, and 0.031, respectively) were found significantly different between both groups. Also, decreased CL angle (odds ratio=0.960) was determined as a significant risk factor for the presence of MPS. There was no relationship between pain intensity and the location of the major curve or the location of the pain. Conclusion: MPS should be remembered as a source of pain in AIS. Older age, greater curve size, decreased CL, increased TK and LL angles, and the worst aesthetic appearance was found in participants with AIS and MPS. The location of myofascial pain or the location of the major curve was not associated with pain intensity.