Ces radiol. 2008, 62(2):193-197

Radiologic evaluation of spine sagittal profile in surgically treated scoliotic deformitiesOriginal article

Miloš Keřkovský1, Aleš Neumann1, Petr Messner jr.2
1 Radiologická klinika LF MU a FN, Brno-Bohunice
2 Ortopedická klinika LF MU a FN, Brno-Bohunice

Aim: The study focuses on the four radiologic parameters describing sagittal stability of a spine in patients with surgically treated scoliotic deformities.

Method: In a prospective study we observed the changes of lordosis, kyphosis (measured by Cobb's angle), T9 and sagittal tilt angle (measurement by Duval-Beaupére) on lateral long-format X-Ray projections of spine. The study was made in a group of 76 patients (50 idiopathic and 20 neuromuscular scoliotic curves) examined at Radiological Clinic and treated surgically at Orthopedical clinic of The Faculty Hospital Brno by means of posterior correction and stabilization. The measurement was realized pre-operative, immediately after surgery, 4 months after surgery and further in 6 months interval. For data evaluation parametric and non-parametric statistical analysis was used.

Results: We found significant difference in pre-operative thoracic kyphosis angle comparing group of patients with idiopathic and neuromuscular scoliosis. Statistically significant was also difference in lumbar lordosis angle and sagittal tilt angle comparing pre- and post-operative state in the subgroup of patients with neuromuscular scoliosis.

Conclusion: Surgical treatment of idiopathic scoliosis does not cause significant changes in sagittal plane. Conversely, surgical treatment of neuromuscular scoliotic curves lead to significant change of lumbar lordosis and sagittal tilt angle in correlation with generally favorable clinical impact of surgery on sagittal stability of spine. Therefore these parameters can be interpreted as valuable objective indicator suitable for assesment of surgical treatment impact on sagittal profile of a spine ant its further progression.

Keywords: scoliosis, sagittal profile, surgery

Accepted: December 15, 2007; Published: June 1, 2008  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Keřkovský M, Neumann A, Messner P. Radiologic evaluation of spine sagittal profile in surgically treated scoliotic deformities. Ces radiol. 2008;62(2):193-197.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Vlach O. Léčení deformit páteře. Praha: Avicenum 1986.
    2. Engsberg JP, Lenke LG, Hollander KW, Uhrich ML, Commean PK, Lee JR, Bae KT. Methods to locate center of gravidity in scoliosis. Spine 2003; 28: E483-489. Go to original source... Go to PubMed...
    3. Mac-Thiong JM, Labelle H, Berthonnaud E, Betz RR, Roussouly P. Sagittal spinopelvic balance in normal children and adolescents. Eur Spine J 2005; 26: 1-8. Go to original source... Go to PubMed...
    4. Chaloupka R, Roubalová J, Krbec M, Repko M, Pátková J. Vybrané kapitoly z LTV ve spondylochirurgii. Brno: IDVPZ 2003.
    5. Mac-Thiong JM, Berthonnaud E, Dimar JR, Betz RR, Labelle H. Sagittal alignment of the spine and pelvis during growth. Spine 2004; 29: 1642-1647. Go to original source... Go to PubMed...
    6. Repko M, Krbec M, Šprláková A, Chaloupka R, Neubauer J. Zobrazovací metody při vyšetření skoliotických deformit páteře. Ces Radiol 2007; 61: 74-79.
    7. Repko M, Vlach O. Paralytic Scoliosis - the management in an adolescent age. Scripta medica 2000; 73: 179-181.
    8. Repko M, Chaloupka R, Krbec M, Leznar M, Tichý V, Šprláková A. Možnosti léčení vrozené skoliózy s diastematomyelií. Acta spondylologica 2004; 2: 10-14.
    9. Duval-Beuapére G, Marty C, Barthel F. Sagittal profile of the spine prominent part of the pelvis. Stud Health Technol Inform 2002; 88: 47-64. Go to original source...
    10. Lipton GE, Letonoff EJ, Dabney KW, Miller F, McCarthy HC. Correction of sagittal plane spinal deformities with unit rod instrumentation in children with cerebral palsy. J Bone Joint Surg Am 2003; 85-A: 2349-2357. Go to original source... Go to PubMed...
    11. Repko M, Tichý V. Operační řešení neuromuskulárních deformit páteře a pánve technikou dle Luqueho-Galvestonea. Acta spondylologica. 2004; 1: 57-61.
    12. Benli IT, Akali S, Kis M, Citak M, Aydin E, Duman E. Frontal and sagittal balance analysis of late onset idiopathic scoliosis treated with third generation instrumentation. Kobe J Med Sci 2001; 47: 231-233.
    13. De Jonge T, Dobousset JF, Illes T. Sagittal plane correction in idiopathic scoliosis. Spine 2002; 27: 754-760. Go to original source... Go to PubMed...
    14. Dabney KW, Miller F, Lipton GE, Letonoff EJ, McCarthy HC. Correction of sagittal plane spinal deformities with unit rod instrumentation in children with cerebral palsy. J Bone Joint Surg Am 2004; 86-A: 156-168. Go to original source... Go to PubMed...
    15. Guigui P, Levassor N, Rillardon L, Wodecki P, Cardinne L. Physiological value of pelvic and spinal parameters of sagittal balance: analysis of 250 healthy volunteers. Rev Chir Orthop Reparatrice Appar Mot. 2003; 89: 496-506.

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content