Bibliographic Details
| Title: |
Differences in vertebral morphology around the apical vertebrae between neuromuscular scoliosis and idiopathic scoliosis in skeletally immature patients: a three-dimensional morphometric analysis |
| Authors: |
Takahiro Makino, Yusuke Sakai, Masafumi Kashii, Shota Takenaka, Kazuomi Sugamoto, Hideki Yoshikawa, Takashi Kaito |
| Source: |
BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-8 (2017) |
| Publisher Information: |
BMC, 2017. |
| Publication Year: |
2017 |
| Collection: |
LCC:Diseases of the musculoskeletal system |
| Subject Terms: |
Wedging, Vertebral body, Asymmetry, Idiopathic scoliosis, Neuromuscular scoliosis, Diseases of the musculoskeletal system, RC925-935 |
| More Details: |
Abstract Background Recent morphological analyses of vertebrae in patients with scoliosis have revealed three-dimensional (3D) deformities in the vertebral bodies. However, it remains controversial whether these deformities are secondary changes caused by asymmetrical vertebral loading or primary changes caused by aberrant asymmetrical vertebral growth. Furthermore, the difference in vertebral morphology between scoliosis with different pathogeneses remains unclear. This study was aimed to investigate the difference in the coronal asymmetry of vertebral bodies between neuromuscular scoliosis (NS) in Duchenne muscular dystrophy (DMD) and idiopathic scoliosis (IS) using in vivo 3D analysis. Methods Twelve male skeletally immature patients with NS in DMD and 13 female skeletally immature patients with IS who underwent corrective fusion at our institution were included retrospectively. 3D bone models of the apical and adjacent upper and lower vertebrae in the major curve in the NS patients and in the main and compensatory curves in the IS patients were constructed using an image processing workstation. The heights of the concave and convex sides of the vertebral bodies were measured at the anterior, middle, and posterior and the concave-to-convex vertebral height ratios (VHR) were calculated. Results The mean VHRs (anterior/middle/posterior) for the main curve for IS (0.897 ± 0.072/0.832 ± 0.086/0.883 ± 0.059) were significantly smaller than those for NS (0.970 ± 0.048/0.934 ± 0.081/0.958 ± 0.043) in all three parts (p |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1471-2474 |
| Relation: |
http://link.springer.com/article/10.1186/s12891-017-1801-0; https://doaj.org/toc/1471-2474 |
| DOI: |
10.1186/s12891-017-1801-0 |
| Access URL: |
https://doaj.org/article/b5295f193c6f4b0880ad69c5834fa1ef |
| Accession Number: |
edsdoj.b5295f193c6f4b0880ad69c5834fa1ef |
| Database: |
Directory of Open Access Journals |
