Trunk Growth in Early-Onset Idiopathic Scoliosis Measured With Biplanar Radiography
TypeArticles dans des revues avec comité de lecture
Study Design Cross-sectional and longitudinal retrospective study. Objectives To measure thoracic dimensions and volume during growth in early-onset idiopathic scoliosis (EOIS) patients and to compare them to a population of asymptomatic adults and to the previous literature. Summary of Background Data Data on trunk growth for scoliotic children between 6 and 14 years of age is sparse in the literature. Methods Thirty-six patients (29 girls and 7 boys, between 3 and 14 years old, average Cobb angle 33°±15°) were included, all with a minimum two-year follow-up. Sixty-one asymptomatic girls and 54 asymptomatic adults were included as control groups. All subjects underwent biplanar radiography and 3D reconstruction of the spine, pelvis, and rib cage. EOIS patients repeated their radiologic examination every six months. Cobb angle, rib cage volume, anteroposterior and transverse diameters, thoracic index, thoracic perimeter, pelvic incidence, and T1–T12 and T1–S1 distance were calculated. Reproducibility of measurement was assessed. Results Measurement reliability in such young patients was comparable to previous studies in adolescents and adults. Geometrical parameters of EOIS patients increased linearly with age. For instance, rib cage volume in girls with EOIS increased from 2200 cm3 at six to seven years of age to 4100 cm3 at 13–14 years (65% of adult values, 294 cm3/y). Comparison with asymptomatic girls showed that EOIS could affect growth spurt. Longitudinal analysis on a cohort of six girls who had a follow-up of six years confirmed the cross-sectional data. Conclusions In this longitudinal and cross-sectional study, trunk growth between 3 and 14 years of age was characterized, for the first time, with biplanar radiography and 3D reconstruction. The results can be useful to estimate patient growth and thus have potential application in the surgical planning of EOIS patients. Level of Evidence Level II, retrospective study.
Showing items related by title, author, creator and subject.
Coronal trunk imbalance in idiopathic scoliosis: Does gravity line localisation confirm the physical findings? HERNANDEZ, Thibault; THENARD, Thomas; VERGARI, Claudio; ROBICHON, Leopold; SKALLI, Wafa (Elsevier BV, 2018)Background: Adolescent idiopathic scoliosis (AIS) can require surgical procedures that have major consequences. Coronal imbalance as assessed clinically using a plumb line is a key criterion for selecting patients to ...
Analysis of Center of Mass and Gravity-Induced Vertebral Axial Torque on the Scoliotic Spine by Barycentremetry THENARD, Thomas; VERGARI, Claudio; HERNANDEZ, Thibault; VIALLE, Rapahaël; SKALLI, Wafa (ELSEVIER, 2019)STUDY DESIGN: Retrospective observational study. OBJECTIVES: To determine the mass distribution along the scoliotic trunk using barycentremetry and its relationship with vertebral axial rotation and torque. SUMMARY OF THE ...
Coronal Trunk Imbalance in Idiopathic Scoliosis: Does Gravity Line Localisation Confirm the Physical Findings? HERNANDEZ, Thibault; THENARD, Thomas; VERGARI, Claudio; ROBICHON, Leopold; SKALLI, Wafa; VIALLE, Raphaël (ELSEVIER, 2018)Background: Adolescent idiopathic scoliosis (AIS) can require surgical procedures that have major con-sequences. Coronal imbalance as assessed clinically using a plumb line is a key criterion for selecting patients to ...
Quasi-automatic early detection of progressive idiopathic scoliosis from biplanar radiography: a preliminary validation VERGARI, Claudio; GAJNY, Laurent; COURTOIS, Isabelle; EBERMEYER, Eric; ABELIN-GENEVOIS, Kariman; KIM, Youngwoo; LANGLAIS, Tristan; VIALLE, Raphaël; ASSI, Ayman; GHANEM, Ismat; DUBOUSSET, Jean; SKALLI, Wafa (2019)Purpose To validate the predictive power and reliability of a novel quasi-automatic method to calculate the severity index of adolescent idiopathic scoliosis (AIS). Methods Fifty-five AIS patients were prospectively ...
Spine slenderness and wedging in adolescent idiopathic scoliosis and in asymptomatic population: an observational retrospective study VERGARI, Claudio; KARAM, Mohammad; PIETTON, Raphaël; VIALLE, Raphaël; GHANEM, Ismat; SKALLI, Wafa; ASSI, Ayman (Springer, 2020)Purpose The origin of the deformity due to adolescent idiopathic scoliosis (AIS) is not known, but mechanical instability of the spine could be involved in its progression. Spine slenderness (the ratio of vertebral height ...