Of 10-16-year-old children, 2 to 4% are suffering from adolescent idiopathic scoliosis (AIS). There are several spinal deformities that can develop in childhood, of which, scoliosis is the most common and the most serious. The measurement data (The spatial positions of processus spinoses defined with ZEBRIS spinal examination method) and the digital X-ray images are kept in MÁV Hospital Szolnok (Hungary).įunding: Name of grant: Orszagos Tudomanyos Kutatasi Alapprogramok Country: HUNGARY Grant number: K115894 URL: Receiving author: Kiss, Rita M The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist. It should be noted that the characteristics calculated from the measurement data are summarized in Tables 1 and 2. ( MÁV Hospital Szolnok, Verseghy street 6-8, 5000 Hungary). The request must be sent to the Director General of MÁV Hospital Szolnok. Data are available from the MÁV Hospital Szolnok Institutional Ethics Committee for researchers who meet the criteria for access to confidential data. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Data are restricted for ethical concerns. Received: DecemAccepted: Published: July 9, 2018Ĭopyright: © 2018 Takács et al. PLoS ONE 13(7):Įditor: Robert Daniel Blank, Medical College of Wisconsin, UNITED STATES However, it cannot replace the biplanar X-ray examination for the visualization of spinal curvatures in the sagittal and frontal planes and the rotation of vertebral bodies during the diagnosis and annual evaluation of the progression.Ĭitation: Takács M, Orlovits Z, Jáger B, Kiss RM (2018) Comparison of spinal curvature parameters as determined by the ZEBRIS spine examination method and the Cobb method in children with scoliosis.
We could conclude that ZEBRIS spinal examination is a valid and reliable method for determination of sagittal and frontal curvatures during the treatment of patients with scoliosis. However, the correlation between lumbar scoliosis ( LSC) values determined by the two methods is significant ( p = 0.000) and excellent ( r LSC = 0.84), the slopes are below one (0.71), the intercept values are below 5 degrees, and the differences between the angles determined by the two methods are within the limits of agreement. The thoracolumbar/lumbar spinal curvature angles in the frontal plane determined by ZEBRIS spine examination were underestimated at curvatures larger than 15°, mainly due to the rotational and pathological deformities of the scoliotic vertebrae. The lumbar lordosis ( LL) in the sagittal plane shows a very good correlation (r LL = 0.76) however the differences between the angles determined by the two methods are out of the limit of agreement in patients with major lumbar lordosis ( LL≥50°). The differences are in the limit of agreement. The correlation between the TK and TSC values determined by the two methods is significant (p = 0.000) and excellent ( r TK = 0.95, r TSC = 0.85). The slopes of the linear regression lines for thoracic kyphosis ( TK) and thoracic scoliosis ( TSC) are close to one (1.00 and 0.79 respectively), and the intercept values are below 5 degrees. Thoracic spinal curvature angles in sagittal and in frontal planes can be measured with sufficient accuracy.