Anatomic deviation between the central hip vertical axis and central sacral vertical line in adolescent idiopathic scoliosis

Journal of Spinal Disorders & Techniques
Jing GuoYong Qiu

Abstract

A radiographic and clinical study. To compare the anatomic deviation between the central hip vertical axis (CHVA) and central sacral vertical line (CSVL) in 2 distinct adolescent idiopathic scoliosis (AIS) groups (right thoracic vs. left thoracolumbar/lumbar) and normal adolescents. The CSVL was traditionally used as a reference line to assess spinal deformity. Recently, the Scoliosis Research Society 3-dimensional (3D) committee proposed the CHVA as a reference line for the 3D evaluation of scoliosis. However, a previous study showed that the CHVA was on an average 3.2 mm to the right compared with the CSVL in right thoracic AIS patients, generating a shift in evaluation of the coronal plane measurements. Fifty-five AIS girls with right thoracic curves (TC) and 56 AIS girls with left thoracolumbar/lumbar curves (TLC) were recruited. AIS girls who had a Cobb angle >40 degrees were excluded from this study in consideration of the potential pelvic rotation in patients with large curves. Another 57 normal girls were set to be the control group. All girls were between 10 and 18 years old. The deviation between the CHVA and CSVL was measured on each posteroanterior radiograph and compared between the 3 groups. The shift of CHVA rela...Continue Reading

References

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Citations

Feb 5, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Caroline HirschKeyvan Mazda
Sep 23, 2020·American Journal of Physical Medicine & Rehabilitation·Hyun Iee Shin, Hyung-Ik Shin

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