Correlation with cosmetic and radiographic parameters in vertebral segmentation failure of congenital scoliosis
10.3760/cma.j.cn121113-20211222-00735
- VernacularTitle:先天性脊柱侧凸美学指标与影像学指标的相关性研究
- Author:
Changwei LIU
1
;
Zezhang ZHU
;
Yanjie XU
;
Zongshan HU
;
Chen LING
;
Zhikai QIAN
;
Jie LI
;
Zhen LIU
;
Yong QIU
Author Information
1. 南京医科大学鼓楼临床医学院骨科，南京 210008
- Keywords:
Thoracic vertebrae;
Congenital abnormalities;
Scoliosis;
Anthropometry;
Esthetics
- From:
Chinese Journal of Orthopaedics
2022;42(11):715-721
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlations between cosmetic and radiographic parameters in patients with congenital scoliosis (CS) with vertebral segmentation failureand the clinical implication of cosmetic parameters.Methods:A total of 27 CS patients were retrospectively reviewed. Anteroposterior and lateral radiographs of the entire spine was taken. Simultaneously, photos were taken from the back in natural standing position and standing forward bending position. Seven cosmetic parameters were measured on the photographs: shoulder area index 1 (SAI1), shoulder area index 2 (SAI2), lumbar area index (LAI), shoulder angle (α 1), axilla angle (α 2), right and left waist angle difference (RLWAD) and hump index. Also, seven radiographic parameterswere measured on the radiographs: radiographic shoulder height difference (RSHD), T 1 tilt, first rib angle (FRA), clavicle angle (CA), clavicle-rib cage intersection (CRCI), clavicle chest cage angle difference (CCAD) and Cobb's angle. The correlation between cosmetic parameters and radiographic parameters was analyzed by Pearson correlation coefficient. Results:Of the 27 patients, 4 were males and 23 were females, with a mean of age 14.0±2.6 years (range 11-18 years). The apical vertebra ranged from T 5 to T 11. LAI was significantly correlatedwith CCAD, but correlation coefficient was only -0.44. The range of correlation coefficientsbetween SAI1 and all radiographic parameters was -0.17 to 0.53, and the range of correlation coefficients between SAI2 and all radiographic parameters was -0.16 to 0.53. However, all correlation coefficients were less than 0.56. Conclusion:Radiographic parameters cannot reflect cosmetic appearances of CS patients with vertebral segmentation failures accurately. More attention should be paid to cosmetic parameters in the evaluation of patients' appearances.
