Method of determining the amount of spine deformation in adolescent idiopathic scoliosis by angle measurement
DOI:
https://doi.org/10.15574/SP.2025.2(146).3945Keywords:
adolescent idiopathic scoliosis, Cobb's angle of deformation, spine, scoliometry, angometry, screening, diagnosis, X-ray examinationAbstract
In the structure of orthopedic pathology among children, the leading place is occupied by adolescent idiopathic scoliosis, the progressive nature of which leads to scoliotic disease and early disability. 80% of all types of scoliosis are idiopathic and 80% of them occur in adolescents, with the onset of pathology at the age of about 10 years.
Аim - determination of the main diagnostic approaches in identifying the features of clinical, functional and orthopedic manifestations of adolescent idiopathic scoliosis.
Materials and methods. The study included 30 patients (12 boys and 18 girls) aged 10 to 17 years with subjective clinical signs of adolescent idiopathic scoliosis of varying severity. The results of the examination of all patients were taken into account by us directly at the initial request for medical help, both subjective and objective methods.
Results. In order to minimize possible errors, we suggest determining the amount of deviation of the spine axis by measuring with a protractor the angle between the horizontal line that runs along the surface of the muscle shaft and goes to the spinous process of the vertebra and the line that runs perpendicular to the above-described line through the most outwardly protruding the point of the spinous process of the vertebra.
Conclusions. The proposed method makes it possible to monitor the development of the spine under the control of treatment results an unlimited number of times, allowing to determine the effectiveness of the chosen strategy of rehabilitation measures, to carry out an objective quantitative analysis of the expressiveness of the compensatory and restorative process with a certain prediction of possible results and consequences of the pathological process.
The research was carried out in accordance with the principles of the Declaration of Helsinki. Informed consent of the child's parents was obtained for the research.
The authors declare no conflict of interest.
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