Assessing clinical trunk change with surface topography: anterior scoliosis correction as a model to evaluate curve progression

冠状面 医学 脊柱侧凸 射线照相术 畸形 柯布角 矢状面 后备箱 口腔正畸科 核医学 外科
作者
Alekhya Madiraju,Patrick J. Mulcahey,Patrick Knott,Allison R. Haas,Laury Cuddihy,M. Darryl Antonacci,Randal R. Betz
出处
期刊:European Spine Journal [Springer Nature]
标识
DOI:10.1007/s00586-021-06998-8
摘要

Previous work has suggested that surface topography can be used for repeated measurements of deformity during curve monitoring following an initial radiograph. Changes in deformity during natural curve progression may be subtle. An important preemptive question to answer is whether topography can follow a large change in spine deformity, as in scoliosis correction. We assess the ability of surface topography to track the evolution of spine deformity during anterior scoliosis correction relative to traditional radiographs. Anterior scoliosis correction was chosen for this analysis because it changes the shape of the trunk without leaving a surgical scar and muscle atrophy along the posterior spine.Following IRB approval, 18 patients aged 14.6 ± 2.0 years at surgery were enrolled in a retrospective review of coronal radiographs and topographic scans acquired before and after scoliosis correction. Radiographic and topographic measures for the coronal curve angle before and after surgery were compared.Surface topography estimates correlate with radiographic measures of the pre- (r = 0.7890, CI = [0.4989 0.9201], p < 0.00001), postsurgical (r = 0.7485, CI = [0.4329 0.9006], p = 0.0004), and the change in the coronal curve angle (r = 0.6744, CI = [0.3028 0.8680], p = 0.0021) due to surgery.We provide evidence open for further extension that topography can follow changes in the coronal curve angle comparably to radiographs.Level IV.
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