Evidence map›Paper›PMID 39520523›Full record

ArticleSpine deformity2025

Surface vs. skeleton: the relationship between surface topographic and radiographic measurements of shoulder symmetry in patients with scoliosis.

Kiranpreet K Nagra, Jenna L Wisch, Ankush Thakur, Colson P Zucker, Na Cao, Mitchell Johnson Md, Don Li, Howard J Hillstrom, Benjamin N Groisser, Matthew E Cunningham and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Kiranpreet K NagraDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Jenna L WischDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Ankush ThakurDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Colson P ZuckerDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Na CaoDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Mitchell Johnson MdDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Don LiDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Howard J HillstromDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Benjamin N GroisserDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Matthew E CunninghamDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
M Timothy HreskoDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA, USA.
Ram HaddasDepartment of Orthopaedics Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY, USA.
John S BlancoDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Roger F WidmannDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Jessica H HeyerDepartment of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA. heyerj@hss.edu.ORCID http://orcid.org/0000-0003-4895-6944

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluates the relationship between existing radiographic measurements of shoulder asymmetry with novel surface topographic (ST) measurements, hypothesizing that these relationships will be weak.

methodsData were gathered from a prospectively collected registry of patients who underwent ST scanning at a single tertiary care institution. Inclusion criteria were diagnosis of juvenile or adolescent idiopathic scoliosis, age 11-21, same-day ST and EOS radiographic evaluation. Twelve radiographic variables that evaluate shoulder height were measured, as well as curve magnitudes and vertebral axial rotation. ST data were collected using the 3dMDbody scanning system. Three ST measurements of shoulder symmetry were evaluated: ST-based AC angle (the angle between a line made between the surface of the AC joints and a line parallel to the ground), Shoulder Normal Asymmetry angle (the angle between the mirrored normals to the planes defined by the jugular notch, vertebral prominence, and AC joint), and Shoulder Volume Asymmetry Index (difference in volumes between the right and left shoulder). Univariate, followed by a stepwise multivariate linear regression was performed to evaluate the correlations of the radiographic measurements to the ST-based measurements. Correlation categories: weak (x < 0.4), moderate (0.4 ≤ x < 0.6), strong (0.6 ≤ x < 0.8), and very strong (x ≥ 0.8).

results141 patients with idiopathic scoliosis were evaluated (65.2% female, mean age 15.1 years, mean BMI 20.5 kg/m

conclusionRadiographic measurements may be acceptable stand-ins for two-dimensional ST measurements such as AC angle, but not for more complex shoulder measurements based on three dimensions. This study demonstrates the inadequacy with which radiographic assessments evaluate shoulder height asymmetry and highlights the use of ST measurements.

Indexed as

ScoliosisShoulderAdolescentChildFemaleHumansMaleProspective StudiesRadiographyYoung AdultIdiopathic scoliosisRadiographyShoulder balanceSurface topography

Identifiers

What OpenQuestion holds

Textmetadata
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.