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European Spine Journal

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01-10-2012 | Original Article

Could clinical ultrasound improve the fitting of spinal orthosis for the patients with AIS?

Authors: M. Li, J. Cheng, M. Ying, B. Ng, Y. P. Zheng, T. P. Lam, W. Y. Wong, M. S. Wong

Published in: European Spine Journal | Issue 10/2012

Abstract

Purpose

This study aimed to improve the effectiveness of orthotic treatment for the patients with AIS using the three-dimensional clinical ultrasound (3D CUS) method in which the optimal location of pressure pad of spinal orthosis was determined with the assistance of ultrasound image analysis.

Methods

By means of 3D CUS method, the spinous process angle (SPA) could be traced and used as a clinical parameter to estimate the Cobb’s angle in order to determine the location of pressure pad. Twenty-one patients (test group) and 22 patients (control group) were recruited to the ultrasound-assisted fitting method and the conventional fitting method, respectively. All the measurements were done by a blinded observer.

Results

The intra-rater reliability of using 3D CUS to measure SPA was found >0.9 [ICC (3,3) = 0.91, p < 0.05]. In the test group, 13 out of 21 patients were required to adjust the location of pressure pad in order to achieve the largest curvature correction. The mean immediate in-brace corrections (Cobb’s angle measured from radiographs) of the test group (mean thoracic curve correction: 10.3°, mean lumbar curve correction: 10.1°) were found significantly higher (p < 0.005) than that of the control group (mean thoracic curve correction: 4.6°, mean lumbar curve correction: 6.0°). The results showed that the ultrasound-assisted fitting method of spinal orthosis was effective and beneficial to 62 % of the patients in this study.

Conclusions

The 3D CUS could be considered as an effective, non-invasive and fast assessment method to scoliosis, especially in enhancing the effectiveness of orthotic treatment and its applications could also be further extended to other spinal deformities.

Aubin CE, Dansereau J, de Guise JA, Labelle H (1997) Rid cage–spine coupling patterns involved in brace treatment of adolescent idiopathic scoliosis. Spine 22:629–635PubMedCrossRef

Burwell RG, Aujla KK, Cole AA, Kirby AS, Pratt KK, Webb JK, Moulton A (2002) Anterior universal spine system for adolescent idiopathic scoliosis: a follow-up study using scoliometer, real-time ultrasound and radiographs. Stud Health Technol Inform 88:473–476

Carlson JM (2003) Clinical biomechanics of orthotic treatment of idiopathic scoliosis. J Prosthet Orthot 15(4S):17–30

Chekryzhev D, Mezentsev A, Petrenko D (2009) Sagittal spinal profile changes in scoliosis children during the brace treatment. Scoliqosis 4(2):13CrossRef

Clin J, Aubin CE, Parent S, Sangole A, Labelle H (2010) Comparison of the biomechanical 3-D efficiency of different brace designs for the treatment of scoliosis using a finite element model. Eur Spine J 19(7):1169–1178PubMedCrossRef

Cruickshank JL, Koike M, Dickson RA (1989) Curve patterns in idiopathic scoliosis: a clinical and radiographic study. J Bone Joint Surg (Br) 71(2):259–263

Dickson RA, Lawton JO, Archer IA, Butt WP (1984) The pathogenesis of idiopathic scoliosis. Biplanar spinal asymmetry. J Bone Joint Surg (Br) 66(1):8–15

Fernand R, Fox DE (1985) Evaluation of lumbar lordosis: a prospective and retrospective study. Spine 10(9):799–803PubMedCrossRef

Furness G, Reilly MP, Kuchi S (2002) An evaluation of ultrasound imaging for identification of lumbar intervertebral level. Anaesthesia 57:266–283CrossRef

10.

Giglio CA, Volpon JB (2007) Development and evaluation of thoracic kyphosis and lumbar lordosis during growth. Children’s J Orthop 1(3):187–193CrossRef

11.

Harrison LA, Pretorius DH, Budorick NE (1992) Abnormal spinal curvature in the fetus. J Med Ultrasound 11:473–479

12.

Herkowitz HN, Garfin SR, Balderston RA, Eismont FJ, Bell GR, Wiesel SW (1999) Rothman–Simeone, the spine. 4th edn., W.B. Saunders Inc., USA

13.

Herzenberg JE, Waanders NA, Closkey RF, Schultz AB, Hensinger RN (1990) Cobb angle versus spinous process angle in adolescent idiopathic scoliosis. The relationship of the anterior and posterior deformities. Spine 15(9):874–879PubMedCrossRef

14.

Hoffman D, Lonstein J, Morin M, Visscher W, Harris B, Boice J Jr (1989) Breast cancer in women with scoliosis exposed to multiple diagnostic X-rays. J Natl Cancer Inst 81(17):1307–1312PubMedCrossRef

15.

Lam WW, Ai V, Wong V, Lui WM, Chan FL, Leong L (2004) Ultrasound measurement of lumbosacral spine in children. Pediatr Neurol 30(2):115–121PubMedCrossRef

16.

Li M, Cheng J, Ying M, Ng B, Zheng YP, Lam TP, Wong WY, Wong MS (2010) Application of 3D ultrasound in assisting the fitting procedure of spinal orthosis to patients with adolescent idiopathic scoliosis. Stud Health Technol Inform 158:34–37PubMed

17.

Li M, Cheng J, Ying M, Ng B, Zheng YP, Lam TP, Wong WY, Wong MS (2010) Using 3-D ultrasound to estimate Cobb’s angle for the patients with adolescent idiopathic scoliosis. In: Proceedings of the 6th world Congress of Biomechanics in Singapore, p 594

18.

McLeod A, Roche A, Fennelly M (2005) Case series: ultrasonography may assist epidural insertion in scoliosis patients. Can J Anesth 52(7):717–720PubMedCrossRef

19.

Morin DM, Lonstein JE, Stovall M (2000) Breast cancer mortality after diagnostic radiography: findings from the US scoliosis cohort study. Spine 25(16):2052–2063CrossRef

20.

Parisini P, Lolli F, Greggi T, Silvestre MD, Cioni A, Giacomini S, Bakaloudis G (2006) An innovative diagnostic procedure of vertebral deformities without exposure to X-rays, IOS Press, Amsterdam, p 123

21.

Perdriolle R, Vidal J (1987) Morphology of scoliosis: three-dimensional evolution. Orthopedics 10(6):909–915PubMed

22.

Perdriolle R, Vidal J (1985) Thoracic idiopathic scoliosis curve evolution and prognosis. Spine 10(9):785–791PubMedCrossRef

23.

Suzuki S, Yamamuro T, Shimizu K, Lida H (1989) Ultrasound measurement of vertebral rotation in idiopathic scoliosis. J Bone Joint Surg (Br) 71(2):252–255

24.

Tribus CB (1998) Scheuermann’s kyphosis in adolescents and adults: diagnosis and management. J Am Acad Orthop Surg 6:36–43PubMed

25.

Weiss HR, Turnbull D, Bohr S (2009) Brace treatment for patients with Scheuermann’s disease: a review of the literature and first experiences with a new brace design. Scoliosis 4:22PubMedCrossRef

26.

Wong MS, Liu WC (2003) Critical review on non-operative management of adolescent idiopathic scoliosis. Prosthet Orthot Int 27(3):242–253PubMedCrossRef

Title: Could clinical ultrasound improve the fitting of spinal orthosis for the patients with AIS?
Authors: M. Li
J. Cheng
M. Ying
B. Ng
Y. P. Zheng
T. P. Lam
W. Y. Wong
M. S. Wong
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 10/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2273-4

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Springer Medicine

Could clinical ultrasound improve the fitting of spinal orthosis for the patients with AIS?

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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