J 2008

The role of the autonomic nervous system in the etiology of idiopathic scoliosis: prospective electron microscopic and morphometric study

REPKO, Martin, Drahomír HORKÝ, Martin KRBEC, R. CHALOUPKA, Eva BRICHTOVÁ et. al.

Basic information

Original name

The role of the autonomic nervous system in the etiology of idiopathic scoliosis: prospective electron microscopic and morphometric study

Name in Czech

Význam autonomního nervového systému na etiologii idiopatické skoliosy. Prospektivní elektromikroskopická a morfometrická studie.

Authors

REPKO, Martin (203 Czech Republic, guarantor, belonging to the institution), Drahomír HORKÝ (203 Czech Republic, belonging to the institution), Martin KRBEC (203 Czech Republic, belonging to the institution), R. CHALOUPKA (203 Czech Republic), Eva BRICHTOVÁ (203 Czech Republic) and Irena LAUSCHOVÁ (203 Czech Republic, belonging to the institution)

Edition

Childs nervous system, 2008, 0256-7040

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.351

RIV identification code

RIV/00216224:14110/08:00051015

Organization unit

Faculty of Medicine

UT WoS

000255616400012

Keywords in English

autonomic nervous system; idiopathic scoliosis; etiology; electron microscopy; morphometry; myelin; concavity

Tags

International impact
Změněno: 20/4/2012 10:46, Mgr. Michal Petr

Abstract

V originále

The exact etiology of scoliosis is still unknown. The main purpose of this study is to search for the possible causation of scoliosis in the development changes of autonomic nervous structures. In this prospective study, we followed-up the changes in peripheral nerve structures and its discrepancies regarding the concavity and convexity of the scoliotic curve. Materials and methods We evaluated 12 patients with the idiopathic scoliotic deformity and the control group of 3 patients without any scoliotic deformity. The samples from the peripheral nerves of the convexity and concavity of the scoliotic deformity were drawn during the surgical correction by using the transthoracic approach. The samples were examined by the electron microscopic method and morphometric statistical evaluation. Results In samples taken from the scoliotic convexity, 23.71% of myelinized nerve fibers (MNF), 12.21% of unmyelinized nerve fibers (UNF), and 5.0% of Schwann cells (SC) were found by the morphometric measurement. There were 17.36% of MNF, 5.82% of UNF, and 5.27% of SC in samples taken from the concavity and 29.9% of MNF, 19.9% of UNF, and 16.7% of SC in the control nonscoliotic samples. Statistically significant differences between both sides of scoliotic deformity (convexity and concavity) and differences between the scoliotic samples and the nonscoliotic control samples were found. In all scoliotic samples, significant morphologic changes were found, mostly in the myelin sheaths and axon fiber abnormalities compression. Conclusion There are significant morphologic changes in spinal autonomic nervous structures in scoliotic patients. These findings can help us in the search for the etiology of scoliosis.

In Czech

Poruchy v konfiguraci obalů a v důsledku i vedení vzruchů autonomního nervového systému mohou být příčinou idiopatické skoliosy.