Study Design: Observational cohort study.
Objective: To test the hypothesis that anterior vertebral body growth modulation (AVBGM) achieves 3D deformity correction after 2-year follow-up while brace treatment limits curve progression for moderate idiopathic scoliosis (30-50°).
Summary Of Background Data: For idiopathic scoliosis, bracing and AVBGM have overlapping indications in skeletally immature patients with moderate scoliosis curve angles, creating a grey zone in clinical practice between them.
Adolescent Idiopathic Scoliosis (AIS) is a deformation of the spine and it is routinely diagnosed using posteroanterior and lateral radiographs. The Risser sign used in skeletal maturity assessment is commonly accepted in AIS patient's management. However, the Risser sign is subject to inter-observer variability and it relies mainly on the observation of ossification on the iliac crests.
View Article and Find Full Text PDFPurpose: To develop an automatic method for the assessment of the Risser stage using deep learning that could be used in the management panel of adolescent idiopathic scoliosis (AIS).
Materials And Methods: In this institutional review board approved-study, a total of 1830 posteroanterior radiographs of patients with AIS (age range, 10-18 years, 70% female) were collected retrospectively and graded manually by six trained readers using the United States Risser staging system. Each radiograph was preprocessed and cropped to include the entire pelvic region.
Annu Int Conf IEEE Eng Med Biol Soc
July 2020
X-ray imaging is currently the gold standard for the assessment of spinal deformities. The purpose of this study is to evaluate a freehand 3D ultrasound system for volumetric reconstruction of the spine. A setup consisting of an ultrasound scanner with a linear transducer, an electromagnetic measuring system and a workstation was used.
View Article and Find Full Text PDFBackground: The progression of the spinal curve represents one of the major concerns in the assessment of Adolescent Idiopathic Scoliosis (AIS). The prediction of the shape of the spine from the first visit could guide the management of AIS and provide the right treatment to prevent curve progression.
Method: In this work, we propose a novel approach based on a statistical generative model to predict the shape variation of the spinal curve from the first visit.
While classification is important for assessing adolescent idiopathic scoliosis (AIS), it however suffers from low interobserver and intraobserver reliability. Classification using ensemble methods may contribute to improving reliability using the proper 2D and 3D images of spine curvature features. In this study, we present two new techniques to describe the spine, namely, leave-one-out and fan leave-one-out.
View Article and Find Full Text PDFStudy Design: Prospective and randomized clinical study.
Objectives: To evaluate the correction of the spine obtained using a 3-dimensional visualization software tool developed to assist the design and adjustment of braces compared with the correction obtained with the conventional method in a cohort of subjects with adolescent idiopathic scoliosis (AIS).
Summary Of Background Data: The optimal design and adjustment of trim lines, pad placement, and areas of relief for the Boston brace system in AIS are currently done using clinical examination and coronal radiographs.