Pre-operative prone radiographs can reliably determine spinal curve flexibility in adolescent idiopathic scoliosis (AIS).
AIS
Adolescent idiopathic scoliosis
Bending
Curve flexibility
Posterior spinal fusion
Prone
Radiographs
Journal
Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
29
11
2021
accepted:
24
04
2022
pubmed:
16
5
2022
medline:
18
8
2022
entrez:
15
5
2022
Statut:
ppublish
Résumé
The purpose of this study was to evaluate the correlation between non-effort prone and bending radiographs in determining curve flexibility in adolescent idiopathic scoliosis (AIS). A retrospective review of AIS patients who underwent pre-operative full spine radiographic imaging from 2006 to 2019 was performed. The Cobb angle (CA) of proximal thoracic (PT), main thoracic (MT) and thoracolumbar/lumbar (TL/L) curves were measured and correlated on standing, prone and bending radiographs. Standing, bending, and prone measurements were correlated using Spearman's analysis, and intra-rater reliability was evaluated using intraclass correlation analysis. A total of 381 patients (74% female) with a mean age of 15.1 ± 2.5 years were identified. A strong correlation existed between the prone and bending CA for the PT (r Prone radiographs demonstrated a moderate to strong correlation with bending radiographs and may be used as a proxy for determining spinal flexibility, especially when bending films are deemed unreliable. III.
Identifiants
pubmed: 35570256
doi: 10.1007/s43390-022-00517-5
pii: 10.1007/s43390-022-00517-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1063-1070Informations de copyright
© 2022. The Author(s), under exclusive licence to Scoliosis Research Society.
Références
King HA, Moe JH, Bradford DS et al (1983) The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am 65(9):1302–1313
doi: 10.2106/00004623-198365090-00012
Large DF, Doig WG, Dickens DR et al (1991) Surgical treatment of double major scoliosis. Improvement of the lumbar curve after fusion of the thoracic curve. J Bone Jt Surg Br. 73(1):121–124
doi: 10.1302/0301-620X.73B1.1991744
Lenke LG, Betz RR, Haher TR et al (2001) Multisurgeon assessment of surgical decision-making in adolescent idiopathic scoliosis: curve classification, operative approach, and fusion levels. Spine (Phila Pa 1976) 26(21):2347–2353
doi: 10.1097/00007632-200111010-00011
McCall RE, Bronson W (1992) Criteria for selective fusion in idiopathic scoliosis using Cotrel-Dubousset instrumentation. J Pediatr Orthop 12(4):475–479
doi: 10.1097/01241398-199207000-00011
Cheung KM, Luk KD (1997) Prediction of correction of scoliosis with use of the fulcrum bending radiograph. J Bone Jt Surg Am 79(8):1144–1150
doi: 10.2106/00004623-199708000-00005
Kleinman RG, Csongradi JJ, Rinksy LA et al (1982) The radiographic assessment of spinal flexibility in scoliosis: a study of the efficacy of the prone push film. Clin Orthop Relat Res 162:47–53
doi: 10.1097/00003086-198201000-00009
Klepps SJ, Lenke LG, Bridwell KH et al (2001) Prospective comparison of flexibility radiographs in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 26(5):E74-79
doi: 10.1097/00007632-200103010-00002
Polly DW Jr, Sturm PF (1998) Traction versus supine side bending. Which technique best determines curve flexibility? Spine (Phila Pa 1976) 23(7):804–808
doi: 10.1097/00007632-199804010-00013
Takahashi S, Passuti N, Delécrin J (1997) Interpretation and utility of traction radiography in scoliosis surgery. Analysis of patients treated with cotrel-dubousset instrumentation. Spine (Phila Pa 1976) 22(21):2542–2546
doi: 10.1097/00007632-199711010-00015
Vaughan JJ, Winter RB, Lonstein JE (1996) Comparison of the use of supine bending and traction radiographs in the selection of the fusion area in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 21(21):2469–2473
doi: 10.1097/00007632-199611010-00012
Vedantam R, Lenke LG, Bridwell KH et al (2000) Comparison of push-prone and lateral-bending radiographs for predicting postoperative coronal alignment in thoracolumbar and lumbar scoliotic curves. Spine (Phila Pa 1976) 25(1):76–81
doi: 10.1097/00007632-200001010-00014
Aronsson DD, Stokes IA, Ronchetti PJ et al (1996) Surgical correction of vertebral axial rotation in adolescent idiopathic scoliosis: prediction by lateral bending films. J Spinal Disord 9(3):214–219
doi: 10.1097/00002517-199606000-00006
Cheh G, Lenke LG, Lehman RA Jr et al (2007) The reliability of preoperative supine radiographs to predict the amount of curve flexibility in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 32(24):2668–2672
doi: 10.1097/BRS.0b013e31815a5269
Davis BJ, Gadgil A, Trivedi J et al (2004) Traction radiography performed under general anesthetic: A new technique for assessing idiopathic scoliosis curves. Spine (Phila Pa 1976) 29(21):2466–2470
doi: 10.1097/01.brs.0000143109.45744.12
Hamzaoglu A, Talu U, Tezer M et al (2005) Assessment of curve flexibility in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 30(14):1637–1642
doi: 10.1097/01.brs.0000170580.92177.d2
Watanabe K, Kawakami N, Nishiwaki Y et al (2007) Traction versus supine side-bending radiographs in determining flexibility: what factors influence these techniques? Spine (Phila Pa 1976) 32(23):2604–2609
doi: 10.1097/BRS.0b013e318158cbcb
Knapp DR Jr, Price CT, Jones ET et al (1992) Choosing fusion levels in progressive thoracic idiopathic scoliosis. Spine (Phila Pa 1976) 17(10):1159–1165
doi: 10.1097/00007632-199210000-00006
Miller G, Green W (1976) Preoperative predictability of Harrington rod correction for scoliosis: Stretch x-ray technique. Scientific Exhibit, American Academy of Orthopaedic Surgeons Annual Meeting. New Orleans1976
Kirk KL, Kuklo TR, Polly DW Jr (2003) Traction versus side-bending radiographs: Is the proximal thoracic curve the stiffer curve in double thoracic curves? Am J Orthop (Belle Mead NJ) 32(6):284–288
Chan CY, Kwan MK, Saravanan S et al (2007) The assessment of immediate post-operative scoliosis correction using pedicle screw system by utilising the fulcrum bending technique. Med J Malays 62(1):33–35
Risser JC (1958) The iliac apophysis; an invaluable sign in the management of scoliosis. Clin Orthop 11:111–119
pubmed: 13561591
Parikh R, Mathai A, Parikh S et al (2008) Understanding and using sensitivity, specificity and predictive values. Indian J Ophthalmol 56(1):45–50
doi: 10.4103/0301-4738.37595
Lamarre ME, Parent S, Labelle H et al (2009) Assessment of spinal flexibility in adolescent idiopathic scoliosis: suspension versus side-bending radiography. Spine (Phila Pa 1976) 34(6):591–597
doi: 10.1097/BRS.0b013e318193a23d
Bekki H, Harimaya K, Matsumoto Y et al (2018) Which side-bending x-ray position is better to evaluate the preoperative curve flexibility in adolescent idiopathic scoliosis patients, supine or prone? Asian Spine J 12(4):632–638
doi: 10.31616/asj.2018.12.4.632
Brink RC, Colo D, Schlosser TPC et al (2017) Upright, prone, and supine spinal morphology and alignment in adolescent idiopathic scoliosis. Scoliosis Spinal Disord 12:6
doi: 10.1186/s13013-017-0111-5
Driscoll CR, Aubin CE, Canet F et al (2012) Impact of prone surgical positioning on the scoliotic spine. J Spinal Disord Tech 25(3):173–181
doi: 10.1097/BSD.0b013e318211ffa6
Liu RW, Teng AL, Armstrong DG et al (2010) Comparison of supine bending, push-prone, and traction under general anesthesia radiographs in predicting curve flexibility and postoperative correction in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 35(4):416–422
doi: 10.1097/BRS.0b013e3181b3564a
Ronckers CM, Doody MM, Lonstein JE et al (2008) Multiple diagnostic x-rays for spine deformities and risk of breast cancer. Cancer Epidemiol Biomarkers Prev 17(3):605–613
doi: 10.1158/1055-9965.EPI-07-2628