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青少年特发性脊柱侧凸控制站立支点侧屈试验的可行性研究

A Feasibility Study of a Controlled Standing Fulcrum Side-Bending Test in Adolescent Idiopathic Scoliosis.

作者信息

Wong Christian, Koutras Christos, Shayestehpour Hamed, Dahl Benny, Otaduya Miguel A, Rasmussen John

机构信息

Department of Orthopedic Surgery, Rigshospitalet, 2100 Osterbroo, Denmark.

Department of Orthopedic Surgery, Copenhagen University Hospital, 2650 Hvidovre, Denmark.

出版信息

J Clin Med. 2024 Dec 20;13(24):7809. doi: 10.3390/jcm13247809.


DOI:10.3390/jcm13247809
PMID:39768732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676229/
Abstract

: 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.

摘要

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

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/c5d793ab6f11/jcm-13-07809-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/324c0a78a704/jcm-13-07809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/6b95abc391bd/jcm-13-07809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/b1e9d6055bc7/jcm-13-07809-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/c5d793ab6f11/jcm-13-07809-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/324c0a78a704/jcm-13-07809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/6b95abc391bd/jcm-13-07809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/b1e9d6055bc7/jcm-13-07809-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b486/11676229/c5d793ab6f11/jcm-13-07809-g004.jpg

相似文献

[1]
A Feasibility Study of a Controlled Standing Fulcrum Side-Bending Test in Adolescent Idiopathic Scoliosis.

J Clin Med. 2024-12-20

[2]
[Changhai fulcrum bending radiographic technique to assess curve flexibility in patients with adolescent idiopathic scoliosis].

Zhonghua Wai Ke Za Zhi. 2014-5

[3]
Assessment of curve flexibility in adolescent idiopathic scoliosis.

Spine (Phila Pa 1976). 2005-7-15

[4]
Predictability of the fulcrum bending radiograph in scoliosis correction with alternate-level pedicle screw fixation.

J Bone Joint Surg Am. 2010-1

[5]
[Assessment of curve flexibility in adolescent idiopathic scoliosis before operation].

Zhonghua Yi Xue Za Zhi. 2007-9-18

[6]
Does Curve Regression Occur During Underarm Bracing in Patients with Adolescent Idiopathic Scoliosis?

Clin Orthop Relat Res. 2020-2

[7]
The effectiveness of selective thoracic fusion for treating adolescent idiopathic scoliosis: a systematic review protocol.

JBI Database System Rev Implement Rep. 2015-11

[8]
The predictive value of the fulcrum bending radiograph in spontaneous apical vertebral derotation in adolescent idiopathic scoliosis.

Spine (Phila Pa 1976). 2012-7-1

[9]
The clinical role of preoperative fulcrum-bending and supine side-bending radiographs on the prediction of curve correction in adolescent idiopathic scoliosis.

Eur Spine J. 2023-4

[10]
Five days of inpatient scoliosis-specific exercises improve preoperative spinal flexibility and facilitate curve correction of patients with rigid idiopathic scoliosis.

Spine Deform. 2025-1

本文引用的文献

[1]
Associations between spinal flexibility and bracing outcomes in adolescent idiopathic scoliosis: a literature review.

J Orthop Surg Res. 2023-12-11

[2]
Biomechanical Morphing for Personalized Fitting of Scoliotic Torso Skeleton Models.

Front Bioeng Biotechnol. 2022-7-19

[3]
Curve type, flexibility, correction, and rotation are predictors of curve progression in patients with adolescent idiopathic scoliosis undergoing conservative treatment : a systematic review.

Bone Joint J. 2022-4

[4]
Intervariability in radiographic parameters and general evaluation of a low-dose fluoroscopic technique in patients with idiopathic scoliosis.

Acta Radiol Open. 2021-9-25

[5]
A study of the sensitivity of biomechanical models of the spine for scoliosis brace design.

Comput Methods Programs Biomed. 2021-8

[6]
Supine flexibility predicts curve progression for patients with adolescent idiopathic scoliosis undergoing underarm bracing.

Bone Joint J. 2020-2

[7]
Does Curve Regression Occur During Underarm Bracing in Patients with Adolescent Idiopathic Scoliosis?

Clin Orthop Relat Res. 2020-2

[8]
Radiographic methods to estimate surgical outcomes based on spinal flexibility assessment in patients who have adolescent idiopathic scoliosis: A systematic review.

Spine J. 2018-6-26

[9]
2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.

Scoliosis Spinal Disord. 2018-1-10

[10]
Predictability of Supine Radiographs for Determining In-Brace Correction for Adolescent Idiopathic Scoliosis.

Spine (Phila Pa 1976). 2018-7-15

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