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Strahlenfreie Diagnostik bei Skoliosen

Ein Überblick über die Oberflächen- und Wirbelsäulentopographie

Radiation-free diagnosis of scoliosis

An overview of the surface and spine topography

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Zusammenfassung

Hintergrund

Skoliosen sind komplexe dreidimensionale Deformitäten der Wirbelsäule, die häufig im Kindes- und Jugendalter auftreten. Bis heute stellen Wirbelsäulenganzaufnahmen den therapeutischen Goldstandard in der Diagnose und Verlaufskontrolle von Skoliosen dar. Aufgrund der hiermit verbundenen Strahlenbelastung wurde bereits früh nach alternativen Messmethoden gesucht.

Ziel

Ein Überblick über die Geschichte, den technischen Hintergrund sowie über die Einsatzmöglichkeiten der Videorasterstereographie wird präsentiert.

Methode

Das rasterstereographische System Formetric (Diers International GmbH, Schlagenbad, Deutschland) ermöglicht die dreidimensionale und strahlungsfreie Darstellung der Rückenoberfläche und der darunterliegenden Wirbelsäule.

Ausblick

Durch technische Weiterentwicklungen kann diese Technik auch unter dynamischen Bedingungen eingesetzt werden, wodurch sich in der Zukunft zusätzliche Einsatzmöglichkeiten ergeben.

Abstract

Background

Scoliosis is a complex three-dimensional deformity of the spine, which usually occurs during childhood and adolescence. Up to now, whole spine X-rays have been the therapeutic gold standard in the diagnosis and follow-up of scoliosis.

Aim

This review gives a brief overview of the history, technical background and possible fields of use for video-rasterstereography

Methods

Alternative measurement systems have been developed over the past few years for the treatment of scoliosis, because of the risk of radiation exposure of X-rays. The rasterstereographic system Formetric (Diers International GmbH, Schlagenbad) allows a radiation-free, three-dimensional analysis of the back surface and the spine.

Outlook

Even dynamic measurements can now be conducted with this rasterstereographic system, which will help to further understand and analyze the human spine.

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Authors and Affiliations

  1. Klinik für Orthopädie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland

    M. Betsch, B. Rath, M. Tingart, A. Schulze & V. Quack

  2. Klinik für Orthopädie, Unfall- und Handchirurgie, Klinikum Darmstadt, Grafenstraße 9, 64283, Darmstadt, Deutschland

    M. Wild

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  1. M. Betsch
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Correspondence to M. Betsch.

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Interessenkonflikt

M. Betsch, M. Wild, B. Rath, M. Tingart, A. Schulze und V. Quack geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Betsch, M., Wild, M., Rath, B. et al. Strahlenfreie Diagnostik bei Skoliosen. Orthopäde 44, 845–851 (2015). https://doi.org/10.1007/s00132-015-3175-z

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  • DOI: https://doi.org/10.1007/s00132-015-3175-z

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