Τίτλος:
Early detection of progression in adolescent idiopathic scoliosis by
measurement of changes in back shape with the integrated shape imaging
system scanner
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Study Design. A retrospective study of 78 patients with right thoracic
idiopathic scoliosis was done.
Objectives. To evaluate the reliability of the Integrated Shape Imaging
System scan (Oxford Metrics Ltd, Oxford, UK) in detecting progression of
scoliosis and the use of back shape data in predicting scoliosis
progression.
Summary of Background Data. At first presentation and every 3-6 months
during the follow-up period, all patients underwent Integrated Shape
Imaging System scans and radiographic examinations, from which the Cobb
angle was measured. The follow-up period was 18-49 months (mean = 31.4
months).
Methods. Patients were divided into three groups according to the
severity and progression of the Cobb angle. The spinal fusion, brace,
and observation groups Were compared using analysis of variance and the
student’s t test to detect significant differences among groups in the
progression of deformity as measured by the integrated Shape Imaging
System parameters and the Cobb angle.
Results. Three of the Integrated Shape Imaging System parameters
detected significant progression in the spinal fusion group 1 year
earlier than the Cobb angle. Only one of the Integrated Shape Imaging
System parameters detected a significant difference in progression
between the brace and observation groups.
Conclusions, The Integrated Shape Imaging System technique demonstrated
significant changes ip this group of patients with progressive
scoliosis. Serial measurements of back surface shape, particularly the
size of the rib hump, may be predictive of progression. Serial
Integrated Shape Imaging System scanning has advantages over serial
radiography in the management of idiopathic scoliosis in addition to the
avoidance of exposure to ionizing radiation.
Συγγραφείς:
Theologis, TN
Fairbank, JCT
TurnerSmith, AR
Pantazopoulos, T
Περιοδικό:
Spine Deformity
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
idiopathic scoliosis; ISIS scan; progression
DOI:
10.1097/00007632-199706010-00010
