Three-Dimensional Vertebral Wedging in Mild and Moderate Adolescent Idiopathic Scoliosis

Sophie-Anne Scherrer, Mickaël Begon, Alberto Leardini, Christine Coillard, Charles-Hilaire Rivard and Paul Allard

PLOS ONE, 2013, vol. 8, issue 8, 1-7

Abstract: Background: Vertebral wedging is associated with spinal deformity progression in adolescent idiopathic scoliosis. Reporting frontal and sagittal wedging separately could be misleading since these are projected values of a single three-dimensional deformation of the vertebral body. The objectives of this study were to determine if three-dimensional vertebral body wedging is present in mild scoliosis and if there are a preferential vertebral level, position and plane of deformation with increasing scoliotic severity. Methodology: Twenty-seven adolescent idiopathic scoliotic girls with mild to moderate Cobb angles (10° to 50°) participated in this study. All subjects had at least one set of bi-planar radiographs taken with the EOS® X-ray imaging system prior to any treatment. Subjects were divided into two groups, separating the mild (under 20°) from the moderate (20° and over) spinal scoliotic deformities. Wedging was calculated in three different geometric planes with respect to the smallest edge of the vertebral body. Results: Factorial analyses of variance revealed a main effect for the scoliosis severity but no main effect of vertebral Levels (apex and each of the three vertebrae above and below it) (F = 1.78, p = 0.101). Main effects of vertebral Positions (apex and above or below it) (F = 4.20, p = 0.015) and wedging Planes (F = 34.36, p

Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0071504

DOI: 10.1371/journal.pone.0071504

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