Corrigendum to Tridimensional Analysis of Rotatory Subluxation and Sagittal Spinopelvic Alignment in the Setting of Adult Spinal Deformity [Spine Deformity 5/4 (2017) 255–264]
Emmanuelle FerreroRenaud LafageBassel G. DieboVincent ChallierBrice IllharrebordeFrank J. SchwabWafa SkalliPierre GuiguiVirginie Lafage
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Spinal Deformity
Subluxation
In the last 20 years, sagittal alignment and balance of the spine have become one of the most important issues in the field of spine surgery. Recent studies emphasize that sagittal balance and alignment are more important for health-related quality of life. The understanding of normal and abnormal sagittal alignment of the spine is necessary for the diagnosis and appropriate treatment of adult spinal deformity (ASD), and we will discuss the currently used classification of ASD, the parameters of sagittal alignment that are essential for the diagnosis of spinal deformity, compensatory actions to maintain sagittal balance, and the relationship between sagittal alignment and clinical symptoms. Furthermore, we will also discuss the recently introduced Global Alignment and Proportion scores. The Korean Spinal Deformity Society is publishing a series of review articles on spinal deformities to help spine surgeons better understand spinal deformities.
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Spinal Deformity
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Objective. To perform 3D biomechanical analysis of spine deformity and relevant anatomical structures in children. Material and Methods. A total of 37,000 children and adolescents aged from 7 to 17 years were screened for multiplane spinal deformity. Screening was performed using computer optic topography. Deformity was assessed with topographical criterion. Results. The coronal plane deformity was detected in 4,230 (11.4 %), sagittal — in 2,048 (5.5 %), and horizontal — in 1,072 (2.9 %) patients. Out of all children with detected pathology, 68.1 % had single plane deformity, 26.6 % — two-plane, and 5.3 % — three-plane deformity. Pathogenesis of multiplane deformities was considered. Seven variants of spinal deformity were identified. Conclusion. In children, as a rule, the deformity under 10° has a single-plane character and more than 10° degree — a multiplane one. Multiplane deformities cause changes in topography of all anatomical structures, which ultimately results in deformity of locomotor system as a whole.
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Spinal deformity is a kind of three dimensional deformity.X-ray and conventional CT can not display accuratelly the deformity of their very complicated osteal structure,but post-processing technique of spinal CT can provide actual evidence for diagnosing of spinal deformity.The purpose of this article is to introduce the application of post-processing technique of MPR,CPR and VRT,the employment of this technique can accurate diagnosis and evaluation of the disease in pre-and post-operation.
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