Trunk Growth in Early-Onset Idiopathic Scoliosis Measured With Biplanar Radiography
Article dans une revue 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.
Files in this item
Showing items related by title, author, creator and subject.
Coronal trunk imbalance in idiopathic scoliosis: Does gravity line localisation confirm the physical findings? Article dans une revue avec comité de lectureHERNANDEZ, Thibault; THENARD, Thomas; VERGARI, Claudio; ROBICHON, Leopold; SKALLI, Wafa (Elsevier Masson, 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 Article dans une revue avec comité de lectureTHENARD, Thomas; VERGARI, Claudio; HERNANDEZ, Thibault; VIALLE, Rapahaël; SKALLI, Wafa (Springer Verlag, 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? Article dans une revue avec comité de lectureHERNANDEZ, Thibault; THENARD, Thomas; VERGARI, Claudio; ROBICHON, Léopold; SKALLI, Wafa; VIALLE, Raphaël (Elsevier Masson, 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 ...
Balance, barycentremetry and external shape analysis in idiopathic scoliosis: What can the physician expect from it? Article dans une revue avec comité de lectureLANGLAIS, Tristan; VERGARI, Claudio; ROUGEREAU, Grégoire; GAJNY, Laurent; ASSI, Ayman; GHANEM, Ismat; DUBOUSSET, Jean; VIALLE, Raphaël; PIETTON, Raphaël; SKALLI, Wafa (Elsevier BV, 2021)Objective: Our objective was to establish a corridor of normality for the external shape 3D parameters and then to assess these variables in adolescent idiopathic scoliosis (AIS). Methods: Adolescent with mild and severe ...
Article dans une revue avec comité de lectureVERGARI, Claudio; SKALLI, Wafa; ABELIN-GENEVOIS, Kariman; BERNARD, Jean-Claude; HU, Zongshan; CHENG, Jack Chun Yiu; CHU, Winnie Chiu Wing; ASSI, Ayman; KARAM, Mohammad; GHANEM, Ismat; BASSANI, Tito; GALBUSERA, Fabio; SCONFIENZA, Luca Maria; BRAYDA-BRUNO, Marco; COURTOIS, Isabelle; EBERMEYER, Eric; VIALLE, Raphael; LANGLAIS, Tristan; DUBOUSSET, Jean (Elsevier BV, 2022-08)Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of the spine. Spine slenderness, which represents its potential instability to buckling under compressive loads, was shown to be higher in AIS patients ...