Wong Christian, Koutras Christos, Shayestehpour Hamed, Dahl Benny, Otaduya Miguel A, Rasmussen John
Department of Orthopedic Surgery, Rigshospitalet, 2100 Osterbroo, Denmark.
Department of Orthopedic Surgery, Copenhagen University Hospital, 2650 Hvidovre, Denmark.
J Clin Med. 2024 Dec 20;13(24):7809. doi: 10.3390/jcm13247809.
: Spinal flexibility radiographs are important in adolescent idiopathic scoliosis (AIS) for clinical decision-making. In this study, we introduce a new method, the 'quantitatively controlled standing fulcrum side-bending' test (CSFS test). This is a feasibility study; we aimed to quantify the applied force and track the temporospatial changes in the spine specifically by measuring the continuous change in the Cobb angle (in degrees) during lateral bending. : In this cross-sectional study, we included patients with AIS. Using a low-dose cinematic fluoroscopic technique, we captured the lateral bending of the thoracolumbar vertebral spine while inducing quantified lateral force on the ribs by a force gauge in a three-point fixation setup of controlled lateral bending. Trial registration number: H-1703423. : Twenty-one patients with small-curve AIS were included as subjects. All subjects performed the CSFS test adequately. They had small curves with a mean Cobb angle of 12.0 (range: 0.0-26.0, SD: 7.1). The measured median stiffness was 3.66 N/degrees (°) of the Cobb angle (range: 0.02-11.81) with a median coefficient of determination R of 0.58 (range: 0.002-0.92) by regression analyses. When analysed concerning the median-term clinical outcome of either progression/regression or stationary curves, various Cobb angle measurements and the other experimental parameters, there were no significant relationships. : The CSFS test is feasible to quantify the force applied and the temporospatial changes in the spine during lateral bending. The CSFS test has been utilised in basic research for mechanical characterisation of the scoliotic spine and has the potential of being implemented directly in patient-specific bracing to estimate the forces needed for brace correction and adjustment so as not to supersede the allowed skin pressure.
脊柱柔韧性X线片在青少年特发性脊柱侧凸(AIS)的临床决策中具有重要意义。在本研究中,我们介绍了一种新方法,即“定量控制站立支点侧弯”试验(CSFS试验)。这是一项可行性研究;我们旨在通过测量侧弯过程中Cobb角(以度为单位)的连续变化来量化施加的力并追踪脊柱的时空变化。:在这项横断面研究中,我们纳入了AIS患者。使用低剂量动态荧光透视技术,我们在三点固定的可控侧弯设置中,通过测力计对肋骨施加定量侧向力时,捕捉胸腰椎脊柱的侧弯情况。试验注册号:H - 1
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