QUANTIFYING THE COSMETIC DEFECT OF ADOLESCENT IDIOPATHIC SCOLIOSIS

被引:100
作者
THEOLOGIS, TN
JEFFERSON, RJ
SIMPSON, AHRW
TURNERSMITH, AR
FAIRBANK, JCT
机构
关键词
Adolescent idiopathic scoliosis; Cosmesis; Isis;
D O I
10.1097/00007632-199306000-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Cosmesis is important in the treatment of adolescent idiopathic scoliosis patients. The aim of this study was to quantify the cosmetic defect using parameters of the ISIS (Oxford Metrics Ltd., Oxford, England) scan. Ten nonmedical judges scored photographs of 100 adolescent idiopathic scoliosis patients based on cosmetic criteria. This Cosmetic Spinal Score proved to be a reliable figure. The Cosmetic Spinal Score was then compared with ISIS parameters and the Cobb angle. An equation based on ISIS parameters was developed, which could predict Cosmetic Spinal Score with sufficient reproducibility to have a useful clinical application. Bracing reduced the rib hump but not enough to improve the cosmetic appearance. Spinal fusion and Harrington instrumentation improved all measured parameters influencing physical appearance.
引用
收藏
页码:909 / 912
页数:4
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