Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis
Background. Assessment of the proximal femoral parameters in adolescent idiopathic scoliosis using three-dimensional radiological image reconstructions may allow better characterization than conventional techniques. Methods. EOS 3D reconstructions of spines and femurs of 320 scoliotic patients (10-1...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/3948595 |
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| author | Máté Burkus Ádám T. Schlégl Kristóf József Ian O’Sullivan István Márkus Miklós Tunyogi-Csapó |
| author_facet | Máté Burkus Ádám T. Schlégl Kristóf József Ian O’Sullivan István Márkus Miklós Tunyogi-Csapó |
| author_sort | Máté Burkus |
| collection | DOAJ |
| description | Background. Assessment of the proximal femoral parameters in adolescent idiopathic scoliosis using three-dimensional radiological image reconstructions may allow better characterization than conventional techniques. Methods. EOS 3D reconstructions of spines and femurs of 320 scoliotic patients (10-18 years old) and 350 control children lacking spinal abnormality were performed and 6 proximal femoral parameters measured. Results. Individuals with adolescent idiopathic scoliosis showed a small but statistically significant decrease in neck shaft angle (average difference=2.58°) and a higher (0.22°) femoral mechanical axis–femoral shaft angle. When the two sides were compared based on curve direction, greater changes in the neck shaft angle and femoral mechanical axis–femoral shaft angle were found on the side of the convexity. Conclusions. Patients with adolescent idiopathic scoliosis were found to have a small but significantly lower neck shaft angle and higher femoral mechanical axis–femoral shaft angle, which related to the curve direction. This is postulated to be due to mechanical compensation for altered balance and centre of gravity associated with a scoliosis deformity, although the observed difference likely has negligible clinical effect. |
| format | Article |
| id | doaj-art-d9a44561245f44339f1d45991ebbf478 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-d9a44561245f44339f1d45991ebbf4782025-02-03T01:29:12ZengWileyAdvances in Orthopedics2090-34642090-34722019-01-01201910.1155/2019/39485953948595Analysis of Proximal Femoral Parameters in Adolescent Idiopathic ScoliosisMáté Burkus0Ádám T. Schlégl1Kristóf József2Ian O’Sullivan3István Márkus4Miklós Tunyogi-Csapó5Department of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryDepartment of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryDepartment of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryDepartment of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryDepartment of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryDepartment of Orthopedics, Medical School, University of Pécs, H-7623 Pécs, Akác St. 1., HungaryBackground. Assessment of the proximal femoral parameters in adolescent idiopathic scoliosis using three-dimensional radiological image reconstructions may allow better characterization than conventional techniques. Methods. EOS 3D reconstructions of spines and femurs of 320 scoliotic patients (10-18 years old) and 350 control children lacking spinal abnormality were performed and 6 proximal femoral parameters measured. Results. Individuals with adolescent idiopathic scoliosis showed a small but statistically significant decrease in neck shaft angle (average difference=2.58°) and a higher (0.22°) femoral mechanical axis–femoral shaft angle. When the two sides were compared based on curve direction, greater changes in the neck shaft angle and femoral mechanical axis–femoral shaft angle were found on the side of the convexity. Conclusions. Patients with adolescent idiopathic scoliosis were found to have a small but significantly lower neck shaft angle and higher femoral mechanical axis–femoral shaft angle, which related to the curve direction. This is postulated to be due to mechanical compensation for altered balance and centre of gravity associated with a scoliosis deformity, although the observed difference likely has negligible clinical effect.http://dx.doi.org/10.1155/2019/3948595 |
| spellingShingle | Máté Burkus Ádám T. Schlégl Kristóf József Ian O’Sullivan István Márkus Miklós Tunyogi-Csapó Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis Advances in Orthopedics |
| title | Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis |
| title_full | Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis |
| title_fullStr | Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis |
| title_full_unstemmed | Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis |
| title_short | Analysis of Proximal Femoral Parameters in Adolescent Idiopathic Scoliosis |
| title_sort | analysis of proximal femoral parameters in adolescent idiopathic scoliosis |
| url | http://dx.doi.org/10.1155/2019/3948595 |
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