Study of Spine and Rib Cage in Children with Scoliosis
Author Information
Author(s): Grivas Theodoros B, Burwell Geoffrey R, Vasiliadis Elias S, Webb John K
Primary Institution: Orthopaedic Department, 'Thriasion' General Hospital, Greece
Hypothesis
The predictive value of vertebral rotation at the upper limit of a thoracic curve of IIS reflects impaired rib control of spinal rotation due to neuromuscular factors.
Conclusion
The thorax of children with progressive infantile idiopathic scoliosis is narrower and funnel-shaped compared to controls, indicating impaired rib control of spinal rotation.
Supporting Evidence
- The scoliotic thorax is significantly narrower than that of the controls at all spinal levels.
- The upper chest in IIS is funnel-shaped.
- Vertebral rotation at T4 correlates significantly with apical vertebral rotation at follow-up.
Takeaway
This study found that kids with a certain type of spine curve have a narrower chest than kids without that curve, which might affect how their ribs grow.
Methodology
Measured thoracic ratios and vertebral rotation using radiographs of scoliotic patients and control subjects.
Potential Biases
Potential bias in selecting control subjects from a population with minimal disorders.
Limitations
The study only considers frontal plane radiographs, which may limit the understanding of scoliotic curvatures.
Participant Demographics
24 children with progressive IIS (16 boys, 8 girls) aged 1.1 to 9.1 years; 233 control subjects aged 1 to 10 years.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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