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01-09-2019 | Scoliosis | Original Article

Characterization of trunk motion in adolescents with right thoracic idiopathic scoliosis

Authors: Sébastien Pesenti, Solenne Prost, Vincent Pomero, Guillaume Authier, Mathieu Severyns, Elke Viehweger, Benjamin Blondel, Jean-Luc Jouve

Published in: European Spine Journal | Issue 9/2019

Abstract

Background

Although standard radiography is currently used for deformity assessment in AIS patients, it is performed in a constrained position and probably not reflective of spinal balance during daily-life activities. Our main objective was to compare trunk motion in Lenke 1 and 2 AIS patients to healthy volunteers, using gait analysis.

Material and methods

Lenke 1 or 2 AIS patients planned for surgery were included. The day before surgery, they underwent radiographic evaluation and gait analysis. Among the gait parameters, sagittal vertical axis (Dyn-SVA), shoulder line rotation (Dyn-SL rotation), pelvis rotation (Dyn-P rotation) and acromion pelvis angle (Dyn-APA) were measured. AIS patients were compared to 25 asymptomatic controls.

Results

A total of 57 patients were included in the study, with a mean Cobb angle of 55.4°. AIS patients had a lower Dyn-SVA when compared to controls (47.0 vs. 62.9 mm, p = 0.012). Dyn-APA and Dyn-SL rotation were negative in AIS patients, meaning that shoulder line was rotated towards the left (− 6.4 vs. 7.8° and − 7.5 vs. − 0.4°, p<0.001, respectively). On the other hand, Dyn-P rotation was positive, meaning that pelvis was rotated towards the right side during gait (1.1 vs. − 0.5, p = 0.026).

Discussion

This is one of the largest series of gait analysis in AIS patients. We demonstrated that AIS patients have an abnormal gait pattern, with a decreased anterior tilt of the trunk and transverse plane abnormalities. We found that gait deviation was not related to radiographic measurements, pointing out that dynamic assessment provides new data about spinal posture.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

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Title: Characterization of trunk motion in adolescents with right thoracic idiopathic scoliosis
Authors: Sébastien Pesenti
Solenne Prost
Vincent Pomero
Guillaume Authier
Mathieu Severyns
Elke Viehweger
Benjamin Blondel
Jean-Luc Jouve
Publication date: 01-09-2019
Publisher: Springer Berlin Heidelberg
Keywords: Scoliosis
Adolescent Idiopathic Scoliosis
Idiopathic Scoliosis
Published in: European Spine Journal / Issue 9/2019
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-019-06067-1

At a glance: The STEP trials

Springer Medicine

Characterization of trunk motion in adolescents with right thoracic idiopathic scoliosis

Abstract

Background

Material and methods

Results

Discussion

Graphic abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Material and methods

Results

Discussion

Graphic abstract

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