Differential wedging of vertebral body and intervertebral disc in thoracic and lumbar spine in adolescent idiopathic scoliosis – A cross sectional study in 150 patients
2008

Vertebral and Disc Wedging in Adolescent Scoliosis

Sample size: 150 publication Evidence: moderate

Author Information

Author(s): Hitesh N Modi, Seung Woo Suh, Hae-Ryong Song, Jae-Hyuk Yang, Hak-Jun Kim, Chetna H Modi

Primary Institution: Scoliosis Research Institute, Dept of Orthopaedics, Korea University Guro Hospital, Seoul, Korea

Hypothesis

The study aims to evaluate the differential wedging of vertebral bodies and intervertebral discs in the thoracic and lumbar spine of patients with adolescent idiopathic scoliosis.

Conclusion

The study concludes that wedging in discs and bodies increases with the progression of scoliosis, with differential wedging patterns observed in the thoracic and lumbar regions.

Supporting Evidence

  • Greater scoliosis severity correlates with increased wedging in both discs and bodies.
  • In thoracic spine, vertebral body wedging is more pronounced than disc wedging.
  • In lumbar spine, disc wedging is more pronounced than vertebral body wedging.

Takeaway

This study looked at how the bones and discs in the back change shape in kids with scoliosis, finding that the changes depend on how curved their spine is.

Methodology

A cross-sectional study measuring wedging of vertebral bodies and discs in 150 patients with adolescent idiopathic scoliosis, comparing wedging in thoracic and lumbar regions.

Limitations

The study excluded patients with kyphoscoliosis or lordoscoliosis, which may limit the generalizability of the findings.

Participant Demographics

122 females and 28 males, average age 14.2 years (range 11-20).

Statistical Information

P-Value

p = 0.0097

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1748-7161-3-11

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