Prediction of clinical height gain from surgical posterior correction of idiopathic scoliosis
Article dans une revue avec comité de lecture
OBJECTIVE: The best predictors of height gain due to surgical correction are the number of fused vertebrae and the degrees of the corrected Cobb angle. Existing studies of predictive models measured the radiographic spinal height and did not report the clinical height gain. The aims of this study were to determine the best predictive factors of clinical height gain before surgical correction, construct a predictive model using patient population data for machine learning, and test the performance of this model on a validation population.METHODS: The authors reviewed 145 medical records of consecutive patients who underwent surgery that included placement of posterior spinal instrumentation and fusion for idiopathic scoliosis between 2012 and 2016. Standing and sitting clinical heights were measured before and after surgery in patients who had been surgically treated under similar conditions. Multivariate analysis was then performed and the results were used to develop a predictive model for height gain after surgery. The data from the included patients were randomly assigned to a learning set or a test set. RESULTS : In total, 116 patients were included in the analysis, for whom the average postoperative clinical height gain in a standing position was 4.2 ± 1.8 cm (range 0–11 cm). The best prediction model was calculated as follows: standing clinical height gain (cm) = 1 − 0.023 × sitting clinical height (cm) − 0.19 × Risser stage + 0.058 × Cobb preoperative angle (°) + 0.021 × T5–12 kyphosis (°) + 0.14 × number of levels fused. In the validation cohort, 91% of the predicted values had an error of less than one-half of the actual height gain.CONCLUSIONS: This predictive model formula for calculating the potential postoperative height gain after surgical treatment can be used preoperatively to inform idiopathic scoliosis patients of what outcomes they may expect from posterior spinal instrumentation and fusion (taking into account the model’s uncertainty).
Showing items related by title, author, creator and subject.
Changes in quantitative elastography assessment of the adjacent lumbar disc after segmental fixation of the spine: a case description of a burst fracture of L4 Article dans une revue avec comité de lecturePIETTON, Raphaël; VIALLE, Raphaël; LAURENT, Romain; SKALLI, Wafa; VERGARI, Claudio; LANGLAIS, Tristan (AME Publishing Company, 2022)Vertebral burst fractures are usually due to traumatic high-energy distraction of the vertebra. They often require pedicle screw fixation to stabilize the spine during the healing process but once the fusion of the fractured ...
Quasi-automatic early detection of progressive idiopathic scoliosis from biplanar radiography: a preliminary validation Article dans une revue avec comité de lectureVERGARI, Claudio; GAJNY, Laurent; COURTOIS, Isabelle; EBERMEYER, Eric; ABELIN-GENEVOIS, Kariman; KIM, Youngwoo; LANGLAIS, Tristan; VIALLE, Raphaël; ASSI, Ayman; GHANEM, Ismat; DUBOUSSET, Jean; SKALLI, Wafa (Springer Verlag, 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 ...
Shear wave elastography of lumbar annulus fibrosus in adolescent idiopathic scoliosis before and after surgical intervention Article dans une revue avec comité de lectureVERGARI, Claudio; CHANTEUX, Lucas; PIETTON, Raphaël; LANGLAIS, Tristan; VIALLE, Raphaël; SKALLI, Wafa (Elsevier, 2020)Abstract Objectives To determine lumbar intervertebral disc properties with shear wave elastography in adolescent idiopathic scoliotic (AIS) patients before and after surgery, and compare them with asymptomatic controls. ...
Microstructural characterization of annulus fibrosus by ultrasonography: a feasibility study with an in vivo and in vitro approach Article dans une revue avec comité de lectureLANGLAIS, Tristan; DESPRAIRIES, Pierre; PIETTON, Raphaël; ROHAN, Pierre-Yves; DUBOUSSET, Jean; MEAKIN, Judith R.; WINLOVE, Peter C.; VIALLE, Raphaël; SKALLI, Wafa; VERGARI, Claudio (Springer Verlag, 2019)The main function of the intervertebral disc is biomechanical function, since it must resist repetitive high loadings, while giving the spine its flexibility and protecting the spinal cord from over-straining. It partially ...
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 ...