CT-based study of vertebral and intravertebral rotation in right thoracic adolescent idiopathic scoliosis
Publication in policy or professional journal

替代計量分析
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其它資訊
摘要Purpose
To define the longitudinal rotation axis around which individual vertebrae rotate, and to establish the various extra- and intravertebral rotation patterns in thoracic adolescent idiopathic scoliosis (AIS) patients, for better understanding of the 3D development of the rotational deformity.

Methods
Seventy high-resolution CT scans from an existing database of thoracic AIS patients (Cobb angle: 46°–109°) were included to determine the vertebral axial rotation, rotation radius, intravertebral axial rotation, and local mechanical torsion for each spinal level, using previously validated image processing techniques.

Results
For all levels, the longitudinal rotation axis, from which the vertebrae rotate away from the midline, was localized posterior to the spine. The axis became closer to the spine at the apex: apex, r = 11.5 ± 5.1 cm versus two levels above (radius = 15.8 ± 8.5 cm; p < 0.001) and beneath (radius = 14.2 ± 8.2 cm; p < 0.001). The vertebral axial rotation, intravertebral axial rotation, and local mechanical torsion of the vertebral bodies were largest at the apex (21.9° ± 7.4°, 8.7° ± 13.5° and 3.0° ± 2.5°) and decreased toward the neutral, junctional zones (p < 0.001).

Conclusion
In AIS, the vertebrae rotate away around an axis that is localized posterior to the spine. The distance between this axis and the spine is minimal at the apex and increases gradually to the neutral zones. The vertebral axial rotation is accompanied by smaller amounts of intravertebral rotation and local mechanical torsion, which increases toward the apical region. The altered morphology and alignment are important for a better understanding of the 3D pathoanatomical development of AIS and better therapeutic planning for bracing and surgical intervention.

Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.
出版社接受日期03.09.2019
著者Brink RC, Homans JF, Schlösser TPC, van Stralen M, Vincken KL, Shi L, Chu WCW, Viergever MA, Castelein RM, Cheng JCY
期刊名稱European Spine Journal
出版年份2019
月份12
卷號28
期次12
頁次3044 - 3052
國際標準期刊號0940-6719
電子國際標準期刊號1432-0932
語言美式英語
關鍵詞Adolescent idiopathic scoliosis · Longitudinal rotation axis · Axial rotation · Intravertebral axial rotation · Local
mechanical torsion

上次更新時間 2020-01-07 於 01:27