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Correlation between spinal coronal balance and static baropodometry in children with adolescent idiopathic scoliosis.
Gait Posture 2019; 75:93-97GP

Abstract

BACKGROUND

Scoliosis is accepted as a 3-dimensional deformity involving axial, sagittal and frontal planes.

RESEARCH QUESTION

To evaluate the correlation between baropodometric parameters and coronal balance status for idiopathic scoliosis.

METHODS

44 patients (7 males and 37 females) of Adolescent Idiopathic Scoliosis (AIS) were recruited. All participants should have scoliosis confirmed by a spine X-ray performed less than one month ahead of the baropodometric study. Radiographic studies including Cobb angle, offset between Central Sacral Vertical Line (CSVL) and C7 Vertebra Plumb Line (C7PL) (considered as global coronal balance, GCB), Apical Translation of the major curve (AT, considered as regional coronal balance) as well as Lateral Pelvic Tilt (LPT) were examined. A static baropodometry was performed for each patient. The contact surface and load ratio (to the entire load of both feet) were measured.

RESULTS

On both sides, the surface of the forefoot was significantly larger than that of the rearfoot (P < 0.001) and the load ratio of the forefoot was significantly smaller than that of the rearfoot (P < 0.001). On the major curve side, GCB showed a positive correlation with the contact surface of the forefoot (r = 0.36, P = 0.019), as well as the load ratio (r = 0.40, P = 0.008). AT also showed a positive correlation with the load ratio of the forefoot (r = 0.331, P = 0.03) but no correlation with contact surface.

SIGNIFICANCE

In scoliosis, coronal balance is correlated to plantar pressure distribution. Apical translation of the major curve and offset between CSVL and C7PL are the best describers of coronal balance.

Authors+Show Affiliations

Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: maqc@shchildren.com.cn.Department of Pediatric Urology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, PR China; Department of Pediatric Surgery, Jiaxing Maternity and Child Health Care Hospital, Jiaxing, Zhejiang Province, PR China. Electronic address: linhouwei@xinhuamed.com.cn.Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: wangl1994@shchildren.com.cn.Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: Zhaolh0803@163.com.Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: chenmj2166@shchildren.com.cn.Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: wangs@shchildren.com.cn.Shanghai JunCheng Orthopaedic Rehabilitation Center, Shanghai, PR China. Electronic address: 287843316@qq.com.Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, PR China. Electronic address: luoy@shchildren.com.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31639614

Citation

Ma, Qichao, et al. "Correlation Between Spinal Coronal Balance and Static Baropodometry in Children With Adolescent Idiopathic Scoliosis." Gait & Posture, vol. 75, 2019, pp. 93-97.
Ma Q, Lin H, Wang L, et al. Correlation between spinal coronal balance and static baropodometry in children with adolescent idiopathic scoliosis. Gait Posture. 2019;75:93-97.
Ma, Q., Lin, H., Wang, L., Zhao, L., Chen, M., Wang, S., ... Luo, Y. (2019). Correlation between spinal coronal balance and static baropodometry in children with adolescent idiopathic scoliosis. Gait & Posture, 75, pp. 93-97. doi:10.1016/j.gaitpost.2019.10.003.
Ma Q, et al. Correlation Between Spinal Coronal Balance and Static Baropodometry in Children With Adolescent Idiopathic Scoliosis. Gait Posture. 2019 Oct 9;75:93-97. PubMed PMID: 31639614.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlation between spinal coronal balance and static baropodometry in children with adolescent idiopathic scoliosis. AU - Ma,Qichao, AU - Lin,Houwei, AU - Wang,Lin, AU - Zhao,Lihua, AU - Chen,Mengjie, AU - Wang,Sun, AU - Rao,Zejiang, AU - Luo,Yi, Y1 - 2019/10/09/ PY - 2019/01/07/received PY - 2019/10/01/revised PY - 2019/10/03/accepted PY - 2019/10/23/pubmed PY - 2019/10/23/medline PY - 2019/10/23/entrez KW - Children KW - Gait KW - Postural balance KW - Pressure KW - Scoliosis SP - 93 EP - 97 JF - Gait & posture JO - Gait Posture VL - 75 N2 - BACKGROUND: Scoliosis is accepted as a 3-dimensional deformity involving axial, sagittal and frontal planes. RESEARCH QUESTION: To evaluate the correlation between baropodometric parameters and coronal balance status for idiopathic scoliosis. METHODS: 44 patients (7 males and 37 females) of Adolescent Idiopathic Scoliosis (AIS) were recruited. All participants should have scoliosis confirmed by a spine X-ray performed less than one month ahead of the baropodometric study. Radiographic studies including Cobb angle, offset between Central Sacral Vertical Line (CSVL) and C7 Vertebra Plumb Line (C7PL) (considered as global coronal balance, GCB), Apical Translation of the major curve (AT, considered as regional coronal balance) as well as Lateral Pelvic Tilt (LPT) were examined. A static baropodometry was performed for each patient. The contact surface and load ratio (to the entire load of both feet) were measured. RESULTS: On both sides, the surface of the forefoot was significantly larger than that of the rearfoot (P < 0.001) and the load ratio of the forefoot was significantly smaller than that of the rearfoot (P < 0.001). On the major curve side, GCB showed a positive correlation with the contact surface of the forefoot (r = 0.36, P = 0.019), as well as the load ratio (r = 0.40, P = 0.008). AT also showed a positive correlation with the load ratio of the forefoot (r = 0.331, P = 0.03) but no correlation with contact surface. SIGNIFICANCE: In scoliosis, coronal balance is correlated to plantar pressure distribution. Apical translation of the major curve and offset between CSVL and C7PL are the best describers of coronal balance. SN - 1879-2219 UR - https://www.unboundmedicine.com/medline/citation/31639614/Correlation_between_spinal_coronal_balance_and_static_baropodometry_in_children_with_adolescent_idiopathic_scoliosis L2 - https://linkinghub.elsevier.com/retrieve/pii/S0966-6362(19)30021-9 DB - PRIME DP - Unbound Medicine ER -