Cargando…

Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?

STUDY DESIGN: Prospective cohort study. PURPOSE: This study compared cervical supine side-bending (CSSB) and cervical supine traction (CST) radiographs to assess the flexibility and predict the correctability of the proximal thoracic (PT) curve for patients with adolescent idiopathic scoliosis (AIS)...

Descripción completa

Detalles Bibliográficos
Autores principales: Chiu, Chee Kidd, Bashir, Elrofai Suliman, Chan, Chris Yin Wei, Kwan, Mun Keong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068410/
https://www.ncbi.nlm.nih.gov/pubmed/30060375
http://dx.doi.org/10.31616/asj.2018.12.4.669
_version_ 1783343264092389376
author Chiu, Chee Kidd
Bashir, Elrofai Suliman
Chan, Chris Yin Wei
Kwan, Mun Keong
author_facet Chiu, Chee Kidd
Bashir, Elrofai Suliman
Chan, Chris Yin Wei
Kwan, Mun Keong
author_sort Chiu, Chee Kidd
collection PubMed
description STUDY DESIGN: Prospective cohort study. PURPOSE: This study compared cervical supine side-bending (CSSB) and cervical supine traction (CST) radiographs to assess the flexibility and predict the correctability of the proximal thoracic (PT) curve for patients with adolescent idiopathic scoliosis (AIS) classified as Lenke 1 and 2. OVERVIEW OF LITERATURE: Knowledge of the flexibility of the PT curve is crucial in the management of patients with AIS. There are no reports comparing CSSB and CST radiographs to assess this parameter. METHODS: Thirty patients with Lenke 1 and 2 AIS scheduled for posterior spinal fusion surgery were recruited. A standing whole spine radiography and physician-supervised CSSB and CST radiographies were performed. Patient demographic and radiological parameters were recorded, including age, gender, weight, height, body mass index, PT angle, main thoracic angle, CSSB PT angle, CST PT angle, and postoperative PT angle. From the data collected, the curve flexibility and curve correction index were calculated and compared. RESULTS: CSSB had a significantly (p <0.05) smaller PT angle (16.6°±10.4°) in comparison to CST (23.7°±10.7°). CSSB had significantly (p <0.05) greater flexibility (44.2%±19.7%) in comparison to CST (19.5%±18.1%). The CSSB correction index (1.2±0.9) was significantly closer to 1 in comparison to the CST correction index (4.4±5.3). There was no difference (p =0.72) between the CSSB PT angle (16.6°±10.4°) and the postoperative PT angle (16.1°±7.5°). However, the CST PT angle (23.7°±10.7°) was significantly (p <0.05) larger than the postoperative PT angle (16.1°±7.5°). CONCLUSIONS: CSSB radiographs were better for demonstrating PT flexibility and more accurately predicted correctability in comparison to the CST radiographs.
format Online
Article
Text
id pubmed-6068410
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Korean Society of Spine Surgery
record_format MEDLINE/PubMed
spelling pubmed-60684102018-08-08 Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis? Chiu, Chee Kidd Bashir, Elrofai Suliman Chan, Chris Yin Wei Kwan, Mun Keong Asian Spine J Clinical Study STUDY DESIGN: Prospective cohort study. PURPOSE: This study compared cervical supine side-bending (CSSB) and cervical supine traction (CST) radiographs to assess the flexibility and predict the correctability of the proximal thoracic (PT) curve for patients with adolescent idiopathic scoliosis (AIS) classified as Lenke 1 and 2. OVERVIEW OF LITERATURE: Knowledge of the flexibility of the PT curve is crucial in the management of patients with AIS. There are no reports comparing CSSB and CST radiographs to assess this parameter. METHODS: Thirty patients with Lenke 1 and 2 AIS scheduled for posterior spinal fusion surgery were recruited. A standing whole spine radiography and physician-supervised CSSB and CST radiographies were performed. Patient demographic and radiological parameters were recorded, including age, gender, weight, height, body mass index, PT angle, main thoracic angle, CSSB PT angle, CST PT angle, and postoperative PT angle. From the data collected, the curve flexibility and curve correction index were calculated and compared. RESULTS: CSSB had a significantly (p <0.05) smaller PT angle (16.6°±10.4°) in comparison to CST (23.7°±10.7°). CSSB had significantly (p <0.05) greater flexibility (44.2%±19.7%) in comparison to CST (19.5%±18.1%). The CSSB correction index (1.2±0.9) was significantly closer to 1 in comparison to the CST correction index (4.4±5.3). There was no difference (p =0.72) between the CSSB PT angle (16.6°±10.4°) and the postoperative PT angle (16.1°±7.5°). However, the CST PT angle (23.7°±10.7°) was significantly (p <0.05) larger than the postoperative PT angle (16.1°±7.5°). CONCLUSIONS: CSSB radiographs were better for demonstrating PT flexibility and more accurately predicted correctability in comparison to the CST radiographs. Korean Society of Spine Surgery 2018-08 2018-07-27 /pmc/articles/PMC6068410/ /pubmed/30060375 http://dx.doi.org/10.31616/asj.2018.12.4.669 Text en Copyright © 2018 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Chiu, Chee Kidd
Bashir, Elrofai Suliman
Chan, Chris Yin Wei
Kwan, Mun Keong
Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title_full Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title_fullStr Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title_full_unstemmed Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title_short Cervical Supine Side-Bending versus Cervical Supine Traction Radiographs: Which Is Better in Predicting Proximal Thoracic Flexibility for Lenke 1 and 2 Adolescent Idiopathic Scoliosis?
title_sort cervical supine side-bending versus cervical supine traction radiographs: which is better in predicting proximal thoracic flexibility for lenke 1 and 2 adolescent idiopathic scoliosis?
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6068410/
https://www.ncbi.nlm.nih.gov/pubmed/30060375
http://dx.doi.org/10.31616/asj.2018.12.4.669
work_keys_str_mv AT chiucheekidd cervicalsupinesidebendingversuscervicalsupinetractionradiographswhichisbetterinpredictingproximalthoracicflexibilityforlenke1and2adolescentidiopathicscoliosis
AT bashirelrofaisuliman cervicalsupinesidebendingversuscervicalsupinetractionradiographswhichisbetterinpredictingproximalthoracicflexibilityforlenke1and2adolescentidiopathicscoliosis
AT chanchrisyinwei cervicalsupinesidebendingversuscervicalsupinetractionradiographswhichisbetterinpredictingproximalthoracicflexibilityforlenke1and2adolescentidiopathicscoliosis
AT kwanmunkeong cervicalsupinesidebendingversuscervicalsupinetractionradiographswhichisbetterinpredictingproximalthoracicflexibilityforlenke1and2adolescentidiopathicscoliosis