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The third dimension of scoliosis: The forgotten axial plane

Article dans une revue avec comité de lecture
Author
ILLES, Tamás S.
LAVASTE, François
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]
DUBOUSSET, Jean-François
343220 Académie nationale de médecine

URI
http://hdl.handle.net/10985/18316
DOI
10.1016/j.otsr.2018.10.021
Date
2019
Journal
Revue de Chirurgie Orthopédique et Traumatologique

Abstract

Idiopathic scoliosis is a three-dimensional (3D) deformity of the spine. In clinical practice, however, the diagnosis and treatment of scoliosis consider only two dimensions (2D) as they rely solely on postero-anterior (PA) and lateral radiographs. Thus, the projections of the deformity are evaluated in only the coronal and sagittal planes, whereas those in the axial plane are disregarded, precluding an accurate assessment of the 3D deformity. A universal dogma in engineering is that designing a 3D object requires drawing projections of the object in all three planes. Similarly, when dealing with a 3D deformity, knowledge of the abnormalities in all three planes is crucial, as each plane is as important as the other two planes. This article reviews the chronological development of axial plane imaging and spinal deformity measurement.

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