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Iliac crest orientation and geometry in able-bodied and non-treated adolescent idiopathic scoliosis girls with moderate and severe spinal deformity

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Abstract

Purpose

To identify pelvic rotation and/or distortion in able-bodied and untreated AIS girls with moderate and severe scoliosis and verify association of pelvic morphological changes with Cobb angle increase.

Methods

The 3D coordinates of nine anatomic bony landmarks were identified to estimate pelvic orientation using a Flock of Birds system. The distances between the first sacral vertebral body (S1) and each of the eight iliac spine landmarks in all three planes were calculated to identify pelvic distortion. Analysis of variance was used to assess pelvic orientation and determine pelvic distortion. Pearson coefficients of correlation were used to identify any relationships between Cobb angle and pelvic morphological parameters.

Results

Pelvic orientation was similar in able-bodied and scoliotic girls regardless of the severity of the spinal deformity. Significant differences were observed in pelvic morphology between AIS with severe untreated scoliosis and those with a moderate scoliosis for the right anterosuperior iliac spines (ASIS), the tip of the superior iliac crest (TSIC) and the widest tip of the iliac crest (WTIC) widths from S1. Statistically significant correlations were observed between the Cobb angles and the iliac crest distances measured from S1.

Conclusions

Differences in iliac spine geometries occurred in the transverse plane correlating to Cobb angles which suggest altered bone growth in AIS girls. Such findings could indicate right thoracic spinal deformity as a result of pelvic torsion.

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References

  1. Stokes IAF (1994) Three-dimensional terminology of spinal deformity: a report presented to the Scoliosis Research Society by the Scoliosis Research Society Working Group on 3-D terminology of spinal deformity. Spine 19:236–248

    Article  PubMed  CAS  Google Scholar 

  2. Goldberg CJ, Kaliszer M, Moore DP et al (2001) Surface topography, Cobb angles, and cosmetic change in scoliosis. Spine 26:E55–E63

    Article  PubMed  CAS  Google Scholar 

  3. Nault ML, Allard P, Hinse S et al (2002) Relationships between standing stability and body posture parameters in adolescent idiopathic scoliosis. Spine 27:1911–1917

    Article  PubMed  Google Scholar 

  4. Mac-Thiong J-M, Labelle H, Charlesbois M et al (2003) Sagittal plane analysis of the spine and pelvis in adolescent idiopathic scoliosis according to the coronal curve type. Spine 13:1404–1409

    Google Scholar 

  5. Legaye J, Duval-Beaupere G, Hecquet J et al (1998) Pelvic incidence: a fundamental pelvic parameter for three-dimensional regulation of spinal sagittal curves. Eur Spine J 7:99–103

    Article  PubMed  CAS  Google Scholar 

  6. Saji M, Upadhyay S, Leong J (1995) Increased femoral neck–shaft angles in adolescent idiopathic scoliosis. Spine 20:303–311

    Article  PubMed  CAS  Google Scholar 

  7. Mahaudens P, Thonnard J-L, Detrembleur C (2005) Influence of structural pelvic disorders during standing and walking in adolescents with idiopathic scoliosis. Spine J 5:427–433

    Article  PubMed  Google Scholar 

  8. Zabjek KF, Leroux MA, Coillard C et al (2005) Evaluation of segmental postural characteristics during quiet standing in control and idiopathic scoliosis patients. Gait Posture 20:483–490

    Google Scholar 

  9. Pasha S, Sangole AP, Aubin C-É et al (2010) Characterizing pelvis dynamics in adolescent with idiopathic scoliosis. Spine 35:E820–E826

    Article  PubMed  Google Scholar 

  10. Gum JL, Asher MA, Burton DC et al (2007) Transverse plane pelvic rotation in adolescent idiopathic scoliosis: primary or compensatory? Eur Spine J 16:1579–1586

    Article  PubMed  Google Scholar 

  11. Burwell RG, Cole AA, Cook TA et al (1992) Pathogenesis of idiopathic scoliosis: the Nottingham Concept. Acta Orthop Belg 58(Suppl.1):33–58

    PubMed  Google Scholar 

  12. Burwell RG, Freeman BJ, Dangerfield PH et al (2006) Etiologic theories of idiopathic scoliosis: neurodevelopmental concepts of maturational delay of the CNS body schema (“body-in-the-brain”). Stud Health Technol Inform 123:72–79

    PubMed  CAS  Google Scholar 

  13. Nicolopoulos KS, Burwell RG, Webb JK (1985) Stature and its component in adolescent idiopathic scoliosis: cephalocaudal disproportion in the trunk of girls. J Bone Jt Surg 67B:594–601

    Google Scholar 

  14. LeBlanc R, Labelle H, Rivard C-H et al (1997) Relation between adolescent idiopathic scoliosis and morphologic somatotypes. Spine 22:2532–2536

    Article  PubMed  CAS  Google Scholar 

  15. Lowe TG, Edgar M, Margulies JY et al (2000) Etiology of idiopathic scoliosis: current trends in research. J Bone Jt Surg Am 82:1157–1168

    Google Scholar 

  16. Dickson RA, Sevitt EA (1982) Growth and idiopathic scoliosis: a longitudinal cohort study. J Bone Jt Surg Br 64:385

    Google Scholar 

  17. Lonstein JE, Carlson M (1984) The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Jt Surg 66:1061–1071

    CAS  Google Scholar 

  18. Bunnell WP (1986) The natural history of idiopathic scoliosis before skeletal maturity. Spine 11:773–776

    Article  PubMed  CAS  Google Scholar 

  19. McIlroy WE, Maki BE (1997) Preferred placement of the feet during quiet stance: development of a standardized foot placement for balance testing. Clin Biomech 12:66–70

    Article  Google Scholar 

  20. Bellefleur C, Labelle H, Dansereau J et al (1994) Évaluation tridimensionnelle per-opératoire de la procédure Cotrel-Dubousset pour le traitement de la scoliose idiopathique. Ann Chir 48:723–730

    PubMed  CAS  Google Scholar 

  21. Dao TV, Labelle H, LeBlanc R (1997) Intra-observer variability of measurement of posture with three-dimensional digitization. Ann Chir 51:848–853

    PubMed  CAS  Google Scholar 

  22. Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum, Mahwah

    Google Scholar 

  23. Holland BS, Copenhaver M (1988) Improved Bonferroni-type multiple testing procedures. Psychol Bull 104:145–149

    Article  Google Scholar 

  24. Chockalingam N, Danderfield PH, Giakas G et al (2002) Study of marker placement in the back for opto-electronic motion analysis. Stud Health Technol Inform 88:105–109

    PubMed  Google Scholar 

  25. Burwell RG, Dangerfield PH, Vernon CL (1981) Bone asymmetry and joint laxity in the upper limbs of children with adolescent idiopathic scoliosis. Ann R Coll Surg Eng 63:209

    Google Scholar 

  26. Mehta MH (1981) Moire topography and associated asymmetries in scoliosis. In: Moreland MS, Pope MH, Armstrong GWD (eds) Moire fringe topography and spinal deformity: proceedings of an international symposium. Pergamon Press, New York, 186–189

  27. Dalleau G, Allard M, Beaulieu M et al (2007) Free moment contribution to quiet standing in able-bodied and scoliotic girls. Eur Spine J 16:1593–1599

    Article  PubMed  Google Scholar 

  28. Beaulieu M, Allard P, Simoneau M et al (2010) Relationship between axial rotation and center of pressure displacements in single and double leg upright stance. J Phys Med Rehabil 89:809–816

    Article  Google Scholar 

  29. Dalleau G, Damavandi M, Leroyer P, Verkindt C, Rivard CH, Allard P (2011) Horizontal body and trunk center of mass offset and standing balance in scoliotic girls. Eur Spine J 20(1):123–128

    Article  PubMed  CAS  Google Scholar 

  30. Bruyneel AV, Chavet P, Bollini G, Allard P, Berton E, Mesure S (2009) Dynamical asymmetries in idiopathic scoliosis during forward and lateral initiation step. Eur Spine J 18(2):188–195

    Article  PubMed  Google Scholar 

  31. Amendt LE, Ause-Ellias KL, Lundahl-Eybers J et al (1990) Validity and reliability testing of the scoliometer. Phys Ther 70:108–117

    PubMed  CAS  Google Scholar 

  32. Qiu XS, Ma WW, Li WG, Wang B, Yu Y, Zhu ZZ, Qian BP, Zhu F, Sun X, Ng BK, Cheng JC, Qiu Y (2009) Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathic scoliosis patients with double thoracic curve. Eur Spine J 18(1):45–51

    Article  PubMed  Google Scholar 

  33. Phan P, Mezghani N, Aubin CE, de Guise JA, Labelle H (2011) Computer algorithms and applications used to assist the evaluation and treatment of adolescent idiopathic scoliosis: a review of published articles 2000–2009. Eur Spine J 20(7):1058–1068

    Article  PubMed  Google Scholar 

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Acknowledgments

Partial funding for this project was obtained from Natural Science and Engineering Council of Canada (NSERC). The authors wish to express their gratitude to Jaisuy Bourrai for his technical assistance.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Exercise Science and Sport, John Long Center, University of Scranton, 800 Linden Street, Scranton, PA, 18510, USA

    Georgios A. Stylianides

  2. Department of Kinesiology, University of Montreal, Montreal, QC, Canada

    Marléne Beaulieu & Paul Allard

  3. CURAPS-DIMPS, Faculté des Sciences de l’Homme et de l’Environnement, Université de la Réunion, Le Tampon, France

    Georges Dalleau

  4. Human Movement Laboratory, Research Centre, Saint-Justine Hospital, Montreal, QC, Canada

    Charles-Hilaire Rivard & Paul Allard

  5. Department of Orthopedic Surgery, Sainte-Justine Hospital, Montreal, PQ, Canada

    Charles-Hilaire Rivard

Authors
  1. Georgios A. Stylianides
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  2. Marléne Beaulieu
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  3. Georges Dalleau
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  4. Charles-Hilaire Rivard
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  5. Paul Allard
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Correspondence to Georgios A. Stylianides.

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Stylianides, G.A., Beaulieu, M., Dalleau, G. et al. Iliac crest orientation and geometry in able-bodied and non-treated adolescent idiopathic scoliosis girls with moderate and severe spinal deformity. Eur Spine J 21, 725–732 (2012). https://doi.org/10.1007/s00586-011-2070-5

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  • DOI: https://doi.org/10.1007/s00586-011-2070-5

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