Illés Tamás S, Lavaste Francois, Dubousset Jean F
Orthopaedic and Trauma Surgery, CHU-Brugmann, Université Libre de Bruxelles/Vrije Universiteit Brussel, Brussels, Belgium; Orthopaedic and Trauma Surgery, CHU-Odense and Clinical Research Institute, Denmark South University, Odense, Denmark; Académie Nationale de Médecine, 16, rue Bonaparte, 75006 Paris, France.
Institute of Biomechanics Human Georges-Charpak, Arts et métiers ParisTech, 151, boulevard de l'Hôpital, 75013 Paris, France.
Orthop Traumatol Surg Res. 2019 Apr;105(2):351-359. doi: 10.1016/j.otsr.2018.10.021. Epub 2019 Jan 18.
Idiopathic scoliosis is a three-dimensional (3D) deformity of the spine. In clinical practice, however, the diagnosis and treatment of scoliosis consider only two dimensions (2D) as they rely solely on postero-anterior (PA) and lateral radiographs. Thus, the projections of the deformity are evaluated in only the coronal and sagittal planes, whereas those in the axial plane are disregarded, precluding an accurate assessment of the 3D deformity. A universal dogma in engineering is that designing a 3D object requires drawing projections of the object in all three planes. Similarly, when dealing with a 3D deformity, knowledge of the abnormalities in all three planes is crucial, as each plane is as important as the other two planes. This article reviews the chronological development of axial plane imaging and spinal deformity measurement.
特发性脊柱侧凸是脊柱的三维（3D）畸形。然而，在临床实践中，脊柱侧凸的诊断和治疗仅考虑二维（2D），因为它们仅依赖于正位（PA）和侧位X线片。因此，仅在冠状面和矢状面评估畸形的投影，而忽略了轴位平面的投影，从而无法准确评估三维畸形。工程学中的一个普遍原则是，设计三维物体需要在所有三个平面上绘制物体的投影。同样，在处理三维畸形时，了解所有三个平面的异常情况至关重要，因为每个平面与其他两个平面同样重要。本文回顾了轴位平面成像和脊柱畸形测量的发展历程。
