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Calculation of corrected body height in idiopathic scoliosis comparison of four methods
ORIGINAL ARTICLE
Calculation of corrected body height in idiopathic scoliosis:
comparison of four methods
Marcin Tyrakowski ? Tomasz Kotwicki ?
Jaroslaw Czubak ? Kris Siemionow
Received: 29 November 2013 / Revised: 11 March 2014 / Accepted: 13 March 2014 / Published online: 1 April 2014
The Author(s) 2014. This article is published with open access at S
Abstract
Purpose The aim of the study was to analyze four
radiographic methods of calculating the loss of body height
associated with scoliosis.
Methods Thirty patients with right thoracic idiopathic
scoliosis were examined with standing postero-anterior
radiographs. Cobb angles of the upper thoracic, main tho-
racic and lumbar curves were measured. The loss of body
height due to scoliosis was measured directly on the
radiographs and then calculated using the methods of
Bjure, Kono, Stokes and Ylikoski, respectively. The
reproducibility of calculations was tested. Detailed analysis
of two patients with similar Cobb angle but different trunk
height was performed.
Results The mean Cobb angle of the main thoracic curve
was 46 (21–74). The mean loss of body height was
23 mm (11–43 mm) calculated by method of Bjure, 7 mm
(-24 to 46 mm) by Kono, 20 mm (5–47 mm) by Stokes,
14 mm (3–36 mm) by Ylikoski, versus 18 mm (3–50 mm)
measured directly on radiographs. The overall difference
between the loss of body heights was significant
(p \ 0.0001), with significant differences in pairs for:
Bjure versus Kono (p \ 0.0001), Stokes versus Kono
(p = 0.0002), Kono versus measured (p = 0.0061) and
Bjure versus Ylikoski (p = 0.0386). Strong linear corre-
lation between the methods was found (r C 0.92;
p \ 0.0001). High reproducibility of height loss calcula-
tions was noticed. The two patients with similar Cobb
angle and different trunk height revealed similar height loss
calculated, while different loss measured on radiographs.
Conclusions There existed no overall agreement between
the four methods of calculation of the loss of bod
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