Unlabelled: Singh DK, Bailey M, Lee R. Biplanar measurement of thoracolumbar curvature in older adults using an electromagnetic tracking device.
Objectives: To develop a new biplanar method of thoracolumbar curvature measurement by using an electromagnetic tracking device and to study the effects of aging on the thoracolumbar curvature.
Design: Cross-sectional study.
Setting: Human movement laboratory.
Participants: Healthy (N=52, 26 younger and 26 older) volunteers.
Interventions: Not applicable.
Main Outcome Measures: An electromagnetic tracking device was used to trace the thoracolumbar curvature by recording the positions of the spinous processes of the spine. The coordinates of the curvature were fitted with polynomial equations, and the magnitudes of thoracic kyphosis, lumbar lordosis, and lateral thoracic and lumbar curves were determined.
Results: The present technique was shown to be highly reliable in measuring thoracolumbar curvature with an intraclass correlation coefficient of more than .90. The mean thoracic kyphosis (-46.95 degrees +/-11.41 degrees ) in the older adults was significantly larger than that in the younger adults (-38.82 degrees +/-9.86 degrees ) (P<.01). However, there were no significant differences in lumbar lordosis and lateral curvatures between the 2 subject groups.
Conclusions: The present study provided evidence of an increase in thoracic kyphosis in older adults. The method of measurement presented in this study was found to provide reliable biplanar data that will be useful in a clinical setting.
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http://dx.doi.org/10.1016/j.apmr.2009.08.145 | DOI Listing |
Skeletal Radiol
December 2024
Department of Radiology, Chobanian and Avedisian School of Medicine, Boston University, Boston, MA, USA.
Objective: To determine the accuracy of automatic Cobb angle measurements by deep learning (DL) on full spine radiographs.
Materials And Methods: Full spine radiographs of patients aged > 2 years were screened using the radiology reports to identify radiographs for performing Cobb angle measurements. Two senior musculoskeletal radiologists and one senior orthopedic surgeon independently annotated Cobb angles exceeding 7° indicating the angle location as either proximal thoracic (apices between T3 and T5), main thoracic (apices between T6 and T11), or thoraco-lumbar (apices between T12 and L4).
JBJS Essent Surg Tech
December 2024
Department of Orthopedics, OhioHealth Health System, Columbus, Ohio.
J Clin Med
October 2024
Department of Orthopaedic Surgery, Mount Sinai Hospital, New York, NY 10029, USA.
The gold standard treatment for adolescent idiopathic scoliosis (AIS) is posterior spinal fusion (PSF). However, long-term consequences of PSF can include reduced spinal flexibility, back pain, and intervertebral disc degeneration. Vertebral body tethering (VBT) is a non-fusion alternative that preserves motion.
View Article and Find Full Text PDFSpine (Phila Pa 1976)
October 2024
Department of Orthopaedics, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing 100191, China.
Study Design: A cross-sectional cohort study.
Objective: To present a normative value reference of spinal segmental inclination stratified by age and pelvic incidence (PI), and to clarify the impact of segmental inclination on spinal sagittal morphology.
Summary Of Background Data: Thoracolumbar segmental inclination has been shown to correlate with the clinical outcomes of adult spinal deformity surgery.
Heliyon
October 2024
University of Ljubljana, Faculty of Electrical Engineering, Laboratory of Physics, Tržaška 25, SI-1000, Ljubljana, Slovenia.
The curvature of the lumbar spine plays a critical role in maintaining spinal function, stability, weight distribution, and load transfer. We have developed a mathematical model of the lumbar spine curve by introducing a novel mechanism: minimization of the elastic bending energy of the spine with respect to two biomechanical parameters: dimensionless lumbosacral spinal curvature and dimensionless curvature increment along the spine CI. While most of the biomechanical studies focus on a particular segment of the spine, the distinction of the presented model is that it describes the shape of the thoracolumbar spine by considering it as a whole (non-locally) and thus includes interactions between the different spinal levels in a holistic approach.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!