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A segmental radiological study of the spine and rib – cage in children with progressive Infantile Idiopathic Scoliosis

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BioMed Central
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PMC
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  • Research
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  • Medicine

Abstract

1748-7161-1-17.fm ral ss BioMed CentScoliosis Open AcceResearch A segmental radiological study of the spine and rib – cage in children with progressive Infantile Idiopathic Scoliosis Theodoros B Grivas*1, Geoffrey R Burwell2, Elias S Vasiliadis1 and John K Webb3 Address: 1Orthopaedic Department, "Thriasion" General Hospital, G. Gennimata Av. 19600, Magoula, Attica, Greece, 2School of Biomedical Sciences, Medical School, Queen's Medical Centre, University of Nottingham, Nottingham, NG7 2UH, UK and 3Centre for Spinal Studies, University Hospital, Nottingham, NG7 2UH, UK Email: Theodoros B Grivas* - [email protected]; Geoffrey R Burwell - [email protected]; Elias S Vasiliadis - [email protected]; John K Webb - [email protected] * Corresponding author Abstract Background: The role of rib cage in the development of progressive infantile idiopathic scoliosis (IIS) has not been studied previously. No report was found for rib growth in children with IIS. These findings caused us to undertake a segmental radiological study of the spine and rib-cage in children with progressive IIS. The aim of the present study is to present a new method for assessing the thoracic shape in scoliotics and in control subjects and to compare the findings between the two groups. Materials and methods: In the posteroanterior (PA) spinal radiographs of 24 patients with progressive IIS, with a mean age of 4.1 years old, the Thoracic Ratios (TRs) (segmental convex and concave TRs), the Cobb angle, the segmental vertebral rotation and vertebral tilt were measured. In 233 subjects, with a mean age of 5.1 years old, who were used as a control group, the segmental left and right TRs and the total width of the chest (left plus right TRs) were measured in PA chest radiographs. Statistical analysis included Mann-Whitney, Spearman correlation coefficient, multiple linear regression analysis and ANOVA. Results: The comparison shows that the scoliotic thorax is significantly narrower than that of the

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