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Evaluation of the changes in waistline asymmetry using digital photography in adolescents with idiopathic thoracolumbar/lumbar scoliosis after corrective surgery – Lumbar Fusion

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The article discusses the issue of waistline asymmetry in patients with adolescent idiopathic scoliosis (AIS) and the surgical goal of correcting spinal deformities while addressing cosmetic concerns. The study evaluated changes in waistline asymmetry using digital photographs in adolescents with thoracolumbar/lumbar (TL/L) scoliosis who underwent corrective surgery. The results showed significant improvements in waist angle ratio (WAR), waist height angle (WHA), and waistline depth ratio (WLDR) postoperatively. Waistline asymmetry was found to correlate with lateral displacement of the apical vertebra on the TL/L curve, and preoperative asymmetry improved with scoliosis correction. The study provides valuable insights into the relationship between spinal deformities and waistline appearance in AIS patients

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: Lateral displacement of the apical vertebra on the TL/L curve correlated with waistline asymmetry. Preoperative waistline asymmetry improved with scoliosis correction.

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Spine Deform. 2024 Mar 25. doi: 10.1007/s43390-024-00850-x. Online ahead of print.ABSTRACTPURPOSE: Waist line asymmetry is a major cosmetic concern in patients with adolescent idiopathic scoliosis (AIS). The primary surgical goal in patients with AIS is to correct spinal deformities and prevent further progression while maintaining global alignment. Additionally, an important objective of surgical treatment is,

Spine Deform. 2024 Mar 25. doi: 10.1007/s43390-024-00850-x. Online ahead of print.

ABSTRACT

PURPOSE: Waist line asymmetry is a major cosmetic concern in patients with adolescent idiopathic scoliosis (AIS). The primary surgical goal in patients with AIS is to correct spinal deformities and prevent further progression while maintaining global alignment. Additionally, an important objective of surgical treatment is to address physical appearance by reducing asymmetry. This study aimed to evaluate changes in waistline asymmetry using digital photographs in adolescents with thoracolumbar/lumbar (TL/L) scoliosis who underwent corrective surgery.

METHODS: We retrospectively analyzed the data of patients with Lenke types 5C and 6C AIS who underwent posterior fusion surgery with at least 2 years of follow-up. Waist line asymmetry was assessed using digital photography. The waist angle ratio (WAR), waist height angle (WHA), and waistline depth ratio (WLDR) were measured pre- and postoperatively. Radiographic parameters and the revised 22-item Scoliosis Research Society Questionnaire (SRS-22r) were also evaluated.

RESULTS: Forty-two patients (40 females and 2 males; 34 with type 5C and 8 with type 6C) were included in the study. The WAR, WHA, and WLDR significantly improved after surgery (0.873 → 0.977, – 2.0° → 1.4°, and 0.321 → 0.899, respectively). Every waistline parameter moderately correlated with the apical vertebral translation of the TL/L curve (WAR: r = – 0.398, WHA: r = – 0.442, and WLDR: r = – 0.692), whereas no correlations were observed with the TL/L curve magnitude. No correlations were observed between the photographic parameters and SRS-22r scores.

: Lateral displacement of the apical vertebra on the TL/L curve correlated with waistline asymmetry. Preoperative waistline asymmetry improved with scoliosis correction.

LEVEL OF EVIDENCE: Level 4.

PMID:38526692 | DOI:10.1007/s43390-024-00850-x

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Evaluation of the changes in waistline asymmetry using digital photography in adolescents with idiopathic thoracolumbar/lumbar scoliosis after corrective surgery

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Spine Deform. 2024 Mar 25. doi: 10.1007/s43390-024-00850-x. Online ahead of print.ABSTRACTPURPOSE: Waist line asymmetry is a major cosmetic concern in patients with adolescent idiopathic scoliosis (AIS). The primary surgical goal in patients with AIS is to correct spinal deformities and prevent further progression while maintaining global alignment. Additionally, an important objective of surgical treatment is

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