Saba Pasha, Patrick J. Cahill, John P. Dormans, John M. Flynn


October 2016, Volume 25, Issue 10, pp 3137 - 3145 Original Article Read Full Article 10.1007/s00586-016-4582-5

First Online: 04 May 2016

Purpose

Although adolescent idiopathic scoliosis (AIS) is known to impact the 3D orientation of the spine and pelvis, the impact of the vertebral position relative to the X-ray scanner on the agreement between 2D and 3D measurements of a curve has not been evaluated. The purpose of this study was to investigate the agreement between 2D and 3D measurements of the scoliotic curve as a function of the 3D spinal parameters in AIS.

Methods

Three independent observers measured the thoracic and lumbar Cobb angles, Kyphosis, and lordosis on the posterior–anterior and lateral X-rays of AIS patients. The 3D reconstructions were created from bi-planar X-rays and the 3D spinal parameters were calculated in both radio and patient planes using SterEOS software. The degree of agreement between the 2D and 3D measurements was tested and its relationship with the curve axial rotation was determined.

Results

2D and 3D measurements of the sagittal plane spinal parameters were significantly different (p 

Conclusion

Clinically and statistically significant differences were observed between the 2D and 3D measurements of the scoliotic spine. The differences between the 2D and 3D techniques were significant in sagittal plane and were related to the spinal curve and pelvic rotation in transverse plane.


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