Evidence map›Paper›PMID 39153073›Full record

ReviewSpine deformity2024

Applications of artificial intelligence for adolescent idiopathic scoliosis: mapping the evidence.

Samuel N Goldman, Aaron T Hui, Sharlene Choi, Emmanuel K Mbamalu, Parsa Tirabady, Ananth S Eleswarapu, Jaime A Gomez, Leila M Alvandi, Eric D Fornari

Abstract readReview
In one paragraph

Review in Spine deformity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The S1-LIV angle is essential for fusion selection in thoracic adolescent idiopathic scoliosis - a dual-center machine learning study with external validation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Samuel N Goldman *Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.ORCID 0000-0003-2199-4318
Aaron T Hui *Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA. Aaron.Hui@einsteinmed.edu.ORCID 0000-0001-6142-2870
Sharlene ChoiAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Emmanuel K MbamaluAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Parsa TirabadyAlbert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
Ananth S EleswarapuDepartment of Orthopaedics, Montefiore Medical Center, Bronx, NY, 10461, USA.
Jaime A GomezDepartment of Orthopaedics, Montefiore Medical Center, Bronx, NY, 10461, USA.
Leila M AlvandiDepartment of Orthopaedics, Montefiore Medical Center, Bronx, NY, 10461, USA.
Eric D FornariDepartment of Orthopaedics, Montefiore Medical Center, Bronx, NY, 10461, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdolescent idiopathic scoliosis (AIS) is a common spinal deformity with varying progression, complicating treatment decisions. Artificial intelligence (AI) and machine learning (ML) are increasingly prominent in orthopedic care, aiding in diagnosis, risk-stratification, and treatment guidance. This scoping review outlines AI applications in AIS.

methodsThis study followed PRISMA-ScR guidelines and included articles that reported the development, use, or validation of AI models for treating, diagnosing, or predicting clinical outcomes in AIS.

results40 full-text articles were included, with most studies published in the last 5 years (77.5%). Common ML techniques were convolutional neural networks (55%), decision trees and random forests (15%), and artificial neural networks (15%). Most AI applications in AIS were for imaging analysis (25/40; 62.5%), focusing on automatic measurement of Cobb angle, and axial vertebral rotation (13/25; 52%) and curve classification/severity (13/25; 52%). Prediction was the second most common application (15/40; 37.5%), with studies predicting curve progression (9/15; 60%), and Cobb angles (9/15; 60%). Only 15 studies (37.5%) reported clinical implementation guidelines for AI in AIS management. 52.5% of studies reported model accuracy, with an average of 85.4%.

conclusionThis review highlights the applications of AI in AIS care, notably including automatic radiographic analysis, curve type classification, prediction of curve progression, and AIS diagnosis. However, the current lack of clear clinical implementation guidelines, model transparency, and external validation of studied models limits clinician trust and the generalizability and applicability of AI in AIS management.

Indexed as

Artificial IntelligenceScoliosisAdolescentHumansMachine LearningNeural Networks, ComputerAdolescent idiopathic scoliosisArtificial intelligenceMachine learningOrthopaedic surgerySpinal deformity

Identifiers

PMID39153073
PMCPMC11499369

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.