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Imaging study on thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis – Lumbar Fusion

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The article titled “Alteration of Thoracic and Lumbar Physiological Curvature in Adolescent Idiopathic Scoliosis” discusses a retrospective analysis conducted on 305 adolescent patients with scoliosis. The study aimed to observe the changes in thoracic and lumbar physiological curvature in patients with adolescent idiopathic scoliosis (AIS) and to compare the differences in curvature between different types of scoliosis. The results showed that the thoracic kyphosis (TK) was significantly smaller in the scoliosis group compared to the normal group, but there was no significant difference in lumbar lordosis (LL) between the two groups. The study also found that there was no significant difference in curvature between males and females, and the TK was greater in mild AIS patients compared to moderate AIS patients. The researchers concluded that the alterations in thoracic and lumbar physiological curvature in AIS patients may be related to relative anterior spinal overgrowth and further research is needed to understand the specific mechanisms involved

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

: The physiological curvature of thoracic and lumbar spine is independent of gender. The thoracic physiological curvature becomes smaller in AIS patients, but lumbar curvature remains unchanged. The thoracic physiological curvature in mild AIS patients is greater than that in moderate AIS patients, but the lumbar curvature is almost unchanged between mild and moderate scoliosis and is similar with that in normal adolescent. The alteration of thoracic and lumbar physiological curvature…

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Zhongguo Gu Shang. 2024 Jan 25;37(1):26-32. doi: 10.12200/j.issn.1003-0034.20220493.ABSTRACTOBJECTIVE: To observe the alteration of thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis(AIS) and the difference of physiological curvature between different types of scoliosis.METHODS: A retrospective analysis was conducted on 305 adolescent patients taken full spine X-ray in our hospital from January 2017 to December 2021.,

Zhongguo Gu Shang. 2024 Jan 25;37(1):26-32. doi: 10.12200/j.issn.1003-0034.20220493.

ABSTRACT

OBJECTIVE: To observe the alteration of thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis(AIS) and the difference of physiological curvature between different types of scoliosis.

METHODS: A retrospective analysis was conducted on 305 adolescent patients taken full spine X-ray in our hospital from January 2017 to December 2021. The patients were divided into normal group and scoliosis group. The normal group was composed of 179 patients, 79 males and 100 females, aged 10 to 18 years old with an average of (12.84±2.10) years old, with cobb agle less than 10 degrees. The scoliosis group was composed of 126 patients, 33 males and 93 females, aged 10 to 18 years old with an average of (13.92±2.20) years old. The gender, age, Risser sign, thoracic kyphosis(TK) and lumbar lordosis(LL) in 2 groups were compared, and the TK and LL were also compared between different genders, different degrees of scoliosis and different segments of scoliosis.

RESULTS: The female ratio(P=0.001) and age (P<0.001) in scoliosis group were higher than them in normal group; the ratio of low-grade ossification was higher in normal group than in scoliosis group(P=0.038). TK was significantly smaller in scoliosis group than in normal group(P<0.001), but there was no significant difference in LL between the 2 groups(P=0.147). There were no significant difference in TK and LL between male and female. The TK was significantly bigger in mild AIS patients than in moderate AIS patients(P<0.05), but there was no significant difference in LL between mild and moderate patients(P>0.05). The TK and LL in different segments scoliosis were not found significant difference.

: The physiological curvature of thoracic and lumbar spine is independent of gender. The thoracic physiological curvature becomes smaller in AIS patients, but lumbar curvature remains unchanged. The thoracic physiological curvature in mild AIS patients is greater than that in moderate AIS patients, but the lumbar curvature is almost unchanged between mild and moderate scoliosis and is similar with that in normal adolescent. The alteration of thoracic and lumbar physiological curvature in AIS patients may be related to relative anterior spinal overgrowth, and the specific detailed mechanism needs to be further studied.

PMID:38286448 | DOI:10.12200/j.issn.1003-0034.20220493

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Imaging study on thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis

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Zhongguo Gu Shang. 2024 Jan 25;37(1):26-32. doi: 10.12200/j.issn.1003-0034.20220493.ABSTRACTOBJECTIVE: To observe the alteration of thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis(AIS) and the difference of physiological curvature between different types of scoliosis.METHODS: A retrospective analysis was conducted on 305 adolescent patients taken full spine X-ray in our hospital from January 2017 to December 2021.

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