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A radiographic evaluation of elasticity ın idiopathic scoliotic curves: are lateral bending films reliable enough to estimate curve elasticity?

Background

Assessment of the elasticity of scoliotic curves is an important factor to plan further treatment in idiopathic scoliosis.

Purpose

To assess curve elasticity obtained from PA standing lateral bending radiographs in comparison to those taken when maximal manual supine traction is applied to the wrists and ankles in patients with idiopathic scoliosis.

Patients and methods

Evaluation of the elasticity of the scoliotic curve was done in 96 patients with idiopathic scoliosis with supine radiographs under manual traction and standing lateral bending radiographs.

Results

Measurements taken from lateral bending radiographs provided more reliable estimates of the postoperative correction compared to radiographs using manual wrist to ankle traction. Lateral bending was a more effective method to assess lumbar and thoracolumbar curves. The two tests were simiIar in ability to evaluate the elasticity of thoracic curves. A lack of patient cooperation in movement was attributed to inadequate assessment of curve elasticity seen in some of the lateral bending radiographs.

Conclusion

The lateral bending test usually is superior to manual traction method. Both methods for estimation of curve elasticity may be recommended because of the frequent, lack of patient cooperation in the lateral bending test. This compliance issue may result in an underestimation of the actual achieved correction.

References

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    Soucacos PK, Soucacos PN, Beris AE: Scoliosis elasticity assessed by manual traction: 49 juvenile and adolescent idiopathic cases. Acta Orthop Scand. 1996, 67: 169-72.

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    Vaughan JJ, Winter RB, Lonstein JE: Comparison of the use of supine bending and traction radiographs in the selection of the fusion area in adolescent idiopathic scoliosis. Spine. 1996, 21: 2469-73. 10.1097/00007632-199611010-00012.

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    Watanabe K, Kawakami N, Nishiwaki Y, Goto M, Tsuji T, Obara T, Imagama S, Matsumoto M: Traction versus supine side-bending radiographs in determining flexibility: what factors influence these techniques?. Spine. 2007, 32: 2604-9.

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Author information

Correspondence to Konstantinos Soultanis.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Public Health
  • Reliable Estimate
  • Idiopathic Scoliosis
  • Radiographic Evaluation
  • Patient Cooperation