Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study
Purpose In adolescent idiopathic scoliosis (AIS), spinal deformity can be seen in the thoracic or in the lumbar area. Although differences according to curve location are well described on standard radiographs, dynamic consequences of such difference remain unclear. Our objective was to explore the...
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| Veröffentlicht in: | European spine journal 2020-08, Vol.29 (8), p.1972-1980 |
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| container_end_page | 1980 |
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| container_issue | 8 |
| container_start_page | 1972 |
| container_title | European spine journal |
| container_volume | 29 |
| creator | Pesenti, Sébastien Pomero, Vincent Prost, Solène Severyns, Mathieu Authier, Guillaume Roscigni, Lionel Viehweger, Elke Blondel, Benjamin Jouve, Jean Luc |
| description | Purpose
In adolescent idiopathic scoliosis (AIS), spinal deformity can be seen in the thoracic or in the lumbar area. Although differences according to curve location are well described on standard radiographs, dynamic consequences of such difference remain unclear. Our objective was to explore the differences in dynamic spinal balance according to curve location in AIS patients using gait analysis
Methods
We prospectively included 22 females with AIS planned for surgical correction (16.3 years old, 81% Risser ≥ 4). Patients were divided into two matched cohorts, according to major curve location [right thoracic (Lenke 1) or left lumbar (Lenke 5)]. Gait analysis was performed the day before surgery. Global balance was analyzed as the primary outcome. Local curves parameters (dynamic Cobb angles) were defined as the secondary outcome.
Results
In coronal plane, Lenke 5 patients had a left trunk shift, whereas trunk was shifted to the right in Lenke 1 patients (− 20.7 vs 6.3,
p
= 0
.
001). In the sagittal plane, the main difference between the two groups was T12 position that remained over the pelvis during gait in Lenke 5 patients, whereas it was anterior to the pelvis in Lenke 1 patients. In the transversal plane, Lenke 5 and Lenke 1 patients presented the same gait abnormalities, with a global trunk rotation to the left (− 4.8 vs − 7.6,
p
= 0
,
165).
Conclusion
This is the first study to provide the results of a direct comparison between Lenke 1 and Lenke 5 patients during gait. Curve location influenced coronal and sagittal balance, but abnormalities of transversal trunk motion were the same, wherever the curve was located.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material. |
| doi_str_mv | 10.1007/s00586-020-06361-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_03189274v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2374371918</sourcerecordid><originalsourceid>FETCH-LOGICAL-c453t-d3bcd7662ad14df21f78342eaf6a5ce1784375321b8be0df739755636b80ca823</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxi0EotvCC3BAlrjAIeA_iZ1wq1bQIq3EBc6WYztdl2wcPM5WfS8ekNnuUiQOnKzx_Obz5_kIecXZe86Y_gCMNa2qmGAVU1LxSj4hK15LUbFOiqdkxbqaVUrz7oycA9wyxpuOqefkTApeM92qFfm1XvI-0DE5W2KaaJyGcQmTC0BhjpMdaW9HizV2qEs5Ha7s5CnYm1gKFjO2ke6XQqdUaMl2gn3IgK2Sl-kH3aWTMrU-jQFcmArQu1i2NPqYZlu20VFwaYwJInykls45wRxciWgt9RDy_sEdSkJZ_P0L8mywI4SXp_OCfP_86dv6utp8vfqyvtxUrm5kqbzsnddKCet57QfBB93KWgQ7KNu4wHVbS93gLvq2D8wPWna6aXCTfcucbYW8IO-Ouls7mjnHnc33Jtlori835nDHJG87oes9R_btkUXvP5cAxewifnU8bCctYITU-BrveIvom3_Q27Rk_B1StWQCzXOFlDhSDpcBOQyPDjgzh_zNMX-D-ZuH_I3Eodcn6aXfBf848idwBOQRAGxNNyH_ffs_sr8Bk_W-qw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2430245316</pqid></control><display><type>article</type><title>Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study</title><source>Springer Nature - Complete Springer Journals</source><creator>Pesenti, Sébastien ; Pomero, Vincent ; Prost, Solène ; Severyns, Mathieu ; Authier, Guillaume ; Roscigni, Lionel ; Viehweger, Elke ; Blondel, Benjamin ; Jouve, Jean Luc</creator><creatorcontrib>Pesenti, Sébastien ; Pomero, Vincent ; Prost, Solène ; Severyns, Mathieu ; Authier, Guillaume ; Roscigni, Lionel ; Viehweger, Elke ; Blondel, Benjamin ; Jouve, Jean Luc</creatorcontrib><description>Purpose
In adolescent idiopathic scoliosis (AIS), spinal deformity can be seen in the thoracic or in the lumbar area. Although differences according to curve location are well described on standard radiographs, dynamic consequences of such difference remain unclear. Our objective was to explore the differences in dynamic spinal balance according to curve location in AIS patients using gait analysis
Methods
We prospectively included 22 females with AIS planned for surgical correction (16.3 years old, 81% Risser ≥ 4). Patients were divided into two matched cohorts, according to major curve location [right thoracic (Lenke 1) or left lumbar (Lenke 5)]. Gait analysis was performed the day before surgery. Global balance was analyzed as the primary outcome. Local curves parameters (dynamic Cobb angles) were defined as the secondary outcome.
Results
In coronal plane, Lenke 5 patients had a left trunk shift, whereas trunk was shifted to the right in Lenke 1 patients (− 20.7 vs 6.3,
p
= 0
.
001). In the sagittal plane, the main difference between the two groups was T12 position that remained over the pelvis during gait in Lenke 5 patients, whereas it was anterior to the pelvis in Lenke 1 patients. In the transversal plane, Lenke 5 and Lenke 1 patients presented the same gait abnormalities, with a global trunk rotation to the left (− 4.8 vs − 7.6,
p
= 0
,
165).
Conclusion
This is the first study to provide the results of a direct comparison between Lenke 1 and Lenke 5 patients during gait. Curve location influenced coronal and sagittal balance, but abnormalities of transversal trunk motion were the same, wherever the curve was located.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-020-06361-3</identifier><identifier>PMID: 32140786</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Balance ; Biomechanics ; Engineering Sciences ; Gait ; Human health and pathology ; Life Sciences ; Mechanics ; Medicine ; Medicine & Public Health ; Neurosurgery ; Observational studies ; Original Article ; Pediatrics ; Pelvis ; Radiography ; Rhumatology and musculoskeletal system ; Scoliosis ; Surgery ; Surgical Orthopedics ; Thorax</subject><ispartof>European spine journal, 2020-08, Vol.29 (8), p.1972-1980</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-d3bcd7662ad14df21f78342eaf6a5ce1784375321b8be0df739755636b80ca823</citedby><cites>FETCH-LOGICAL-c453t-d3bcd7662ad14df21f78342eaf6a5ce1784375321b8be0df739755636b80ca823</cites><orcidid>0000-0003-4893-4534 ; 0000-0003-2230-2811 ; 0000-0001-8896-5277 ; 0000-0002-3500-0655</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-020-06361-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-020-06361-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32140786$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03189274$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Pesenti, Sébastien</creatorcontrib><creatorcontrib>Pomero, Vincent</creatorcontrib><creatorcontrib>Prost, Solène</creatorcontrib><creatorcontrib>Severyns, Mathieu</creatorcontrib><creatorcontrib>Authier, Guillaume</creatorcontrib><creatorcontrib>Roscigni, Lionel</creatorcontrib><creatorcontrib>Viehweger, Elke</creatorcontrib><creatorcontrib>Blondel, Benjamin</creatorcontrib><creatorcontrib>Jouve, Jean Luc</creatorcontrib><title>Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
In adolescent idiopathic scoliosis (AIS), spinal deformity can be seen in the thoracic or in the lumbar area. Although differences according to curve location are well described on standard radiographs, dynamic consequences of such difference remain unclear. Our objective was to explore the differences in dynamic spinal balance according to curve location in AIS patients using gait analysis
Methods
We prospectively included 22 females with AIS planned for surgical correction (16.3 years old, 81% Risser ≥ 4). Patients were divided into two matched cohorts, according to major curve location [right thoracic (Lenke 1) or left lumbar (Lenke 5)]. Gait analysis was performed the day before surgery. Global balance was analyzed as the primary outcome. Local curves parameters (dynamic Cobb angles) were defined as the secondary outcome.
Results
In coronal plane, Lenke 5 patients had a left trunk shift, whereas trunk was shifted to the right in Lenke 1 patients (− 20.7 vs 6.3,
p
= 0
.
001). In the sagittal plane, the main difference between the two groups was T12 position that remained over the pelvis during gait in Lenke 5 patients, whereas it was anterior to the pelvis in Lenke 1 patients. In the transversal plane, Lenke 5 and Lenke 1 patients presented the same gait abnormalities, with a global trunk rotation to the left (− 4.8 vs − 7.6,
p
= 0
,
165).
Conclusion
This is the first study to provide the results of a direct comparison between Lenke 1 and Lenke 5 patients during gait. Curve location influenced coronal and sagittal balance, but abnormalities of transversal trunk motion were the same, wherever the curve was located.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</description><subject>Balance</subject><subject>Biomechanics</subject><subject>Engineering Sciences</subject><subject>Gait</subject><subject>Human health and pathology</subject><subject>Life Sciences</subject><subject>Mechanics</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Observational studies</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Pelvis</subject><subject>Radiography</subject><subject>Rhumatology and musculoskeletal system</subject><subject>Scoliosis</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Thorax</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc9u1DAQxi0EotvCC3BAlrjAIeA_iZ1wq1bQIq3EBc6WYztdl2wcPM5WfS8ekNnuUiQOnKzx_Obz5_kIecXZe86Y_gCMNa2qmGAVU1LxSj4hK15LUbFOiqdkxbqaVUrz7oycA9wyxpuOqefkTApeM92qFfm1XvI-0DE5W2KaaJyGcQmTC0BhjpMdaW9HizV2qEs5Ha7s5CnYm1gKFjO2ke6XQqdUaMl2gn3IgK2Sl-kH3aWTMrU-jQFcmArQu1i2NPqYZlu20VFwaYwJInykls45wRxciWgt9RDy_sEdSkJZ_P0L8mywI4SXp_OCfP_86dv6utp8vfqyvtxUrm5kqbzsnddKCet57QfBB93KWgQ7KNu4wHVbS93gLvq2D8wPWna6aXCTfcucbYW8IO-Ouls7mjnHnc33Jtlori835nDHJG87oes9R_btkUXvP5cAxewifnU8bCctYITU-BrveIvom3_Q27Rk_B1StWQCzXOFlDhSDpcBOQyPDjgzh_zNMX-D-ZuH_I3Eodcn6aXfBf848idwBOQRAGxNNyH_ffs_sr8Bk_W-qw</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Pesenti, Sébastien</creator><creator>Pomero, Vincent</creator><creator>Prost, Solène</creator><creator>Severyns, Mathieu</creator><creator>Authier, Guillaume</creator><creator>Roscigni, Lionel</creator><creator>Viehweger, Elke</creator><creator>Blondel, Benjamin</creator><creator>Jouve, Jean Luc</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0003-4893-4534</orcidid><orcidid>https://orcid.org/0000-0003-2230-2811</orcidid><orcidid>https://orcid.org/0000-0001-8896-5277</orcidid><orcidid>https://orcid.org/0000-0002-3500-0655</orcidid></search><sort><creationdate>20200801</creationdate><title>Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study</title><author>Pesenti, Sébastien ; Pomero, Vincent ; Prost, Solène ; Severyns, Mathieu ; Authier, Guillaume ; Roscigni, Lionel ; Viehweger, Elke ; Blondel, Benjamin ; Jouve, Jean Luc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c453t-d3bcd7662ad14df21f78342eaf6a5ce1784375321b8be0df739755636b80ca823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Balance</topic><topic>Biomechanics</topic><topic>Engineering Sciences</topic><topic>Gait</topic><topic>Human health and pathology</topic><topic>Life Sciences</topic><topic>Mechanics</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Observational studies</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Pelvis</topic><topic>Radiography</topic><topic>Rhumatology and musculoskeletal system</topic><topic>Scoliosis</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Thorax</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pesenti, Sébastien</creatorcontrib><creatorcontrib>Pomero, Vincent</creatorcontrib><creatorcontrib>Prost, Solène</creatorcontrib><creatorcontrib>Severyns, Mathieu</creatorcontrib><creatorcontrib>Authier, Guillaume</creatorcontrib><creatorcontrib>Roscigni, Lionel</creatorcontrib><creatorcontrib>Viehweger, Elke</creatorcontrib><creatorcontrib>Blondel, Benjamin</creatorcontrib><creatorcontrib>Jouve, Jean Luc</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pesenti, Sébastien</au><au>Pomero, Vincent</au><au>Prost, Solène</au><au>Severyns, Mathieu</au><au>Authier, Guillaume</au><au>Roscigni, Lionel</au><au>Viehweger, Elke</au><au>Blondel, Benjamin</au><au>Jouve, Jean Luc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>29</volume><issue>8</issue><spage>1972</spage><epage>1980</epage><pages>1972-1980</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
In adolescent idiopathic scoliosis (AIS), spinal deformity can be seen in the thoracic or in the lumbar area. Although differences according to curve location are well described on standard radiographs, dynamic consequences of such difference remain unclear. Our objective was to explore the differences in dynamic spinal balance according to curve location in AIS patients using gait analysis
Methods
We prospectively included 22 females with AIS planned for surgical correction (16.3 years old, 81% Risser ≥ 4). Patients were divided into two matched cohorts, according to major curve location [right thoracic (Lenke 1) or left lumbar (Lenke 5)]. Gait analysis was performed the day before surgery. Global balance was analyzed as the primary outcome. Local curves parameters (dynamic Cobb angles) were defined as the secondary outcome.
Results
In coronal plane, Lenke 5 patients had a left trunk shift, whereas trunk was shifted to the right in Lenke 1 patients (− 20.7 vs 6.3,
p
= 0
.
001). In the sagittal plane, the main difference between the two groups was T12 position that remained over the pelvis during gait in Lenke 5 patients, whereas it was anterior to the pelvis in Lenke 1 patients. In the transversal plane, Lenke 5 and Lenke 1 patients presented the same gait abnormalities, with a global trunk rotation to the left (− 4.8 vs − 7.6,
p
= 0
,
165).
Conclusion
This is the first study to provide the results of a direct comparison between Lenke 1 and Lenke 5 patients during gait. Curve location influenced coronal and sagittal balance, but abnormalities of transversal trunk motion were the same, wherever the curve was located.
Graphic abstract
These slides can be retrieved under Electronic Supplementary Material.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32140786</pmid><doi>10.1007/s00586-020-06361-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-4893-4534</orcidid><orcidid>https://orcid.org/0000-0003-2230-2811</orcidid><orcidid>https://orcid.org/0000-0001-8896-5277</orcidid><orcidid>https://orcid.org/0000-0002-3500-0655</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European spine journal, 2020-08, Vol.29 (8), p.1972-1980 |
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| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03189274v1 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Balance Biomechanics Engineering Sciences Gait Human health and pathology Life Sciences Mechanics Medicine Medicine & Public Health Neurosurgery Observational studies Original Article Pediatrics Pelvis Radiography Rhumatology and musculoskeletal system Scoliosis Surgery Surgical Orthopedics Thorax |
| title | Curve location influences spinal balance in coronal and sagittal planes but not transversal trunk motion in adolescents with idiopathic scoliosis: a prospective observational study |
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