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ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Validating rasterstereography to evaluate thoracic kyphosis in patients with Scheuermann's disease.

Ulysse Coneys, Anne Tabard-Fougère, Nathaly Gavira, Romain Dayer

Abstract readValidation Study
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Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ulysse ConeysPediatric Orthopedics Unit, Pediatric Surgery Service, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Anne Tabard-FougèrePediatric Orthopedics Unit, Pediatric Surgery Service, Geneva University Hospitals and University of Geneva, Geneva, Switzerland. anne.tabard@hug.ch.
Nathaly GaviraPediatric Orthopedics Unit, Pediatric Surgery Service, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Romain DayerPediatric Orthopedics Unit, Pediatric Surgery Service, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEvaluate the validity of rasterstereography compared to low-dose, biplanar spine radiography for assessing thoracic kyphosis (TK) angles in Scheuermann's disease patients.

methodsThis prospective study included all the Scheuermann's disease patients consulting our clinic from 2016 to 2018. Recruited patients underwent two-dimensional low-dose biplanar anteroposterior full-length spine radiography and rasterstereography on the same day. Relationships between the TK angles measured were evaluated using Pearson correlation coefficients. Agreement between radiographic and rasterstereographic TK angles was evaluated using two-way intraclass correlation coefficients (ICCs) and Bland-Altman plots. Proportional biases were assessed using the slope regression lines fitted to Bland-Altman plots.

resultsThe mean demographic and radiological characteristics of the 52 patients (20 girls; 39%) included were: age 13.1 ± 2 years; BMI 17.3 ± 2.8; and TK max. 50.4° ± 10°. Rasterstereographic TK angles were strongly correlated with radiographic TK angles evaluated from T2-T12 (r = 0.677) and from C7-Max (r = 0.704), with 'good' agreement (ICC > 0.75). A proportional bias was revealed in the slope regression line fitted to the Bland-Altman plot from the C7-Max radiography and the rasterstereography measurements (p = 0.034) but not from the T2-T12 and rasterstereographic TK angles (p = 0.997).

conclusionRasterstereography is a reliable means of quantifying TK angles in Scheuermann's disease patients. It could directly reduce the number of radiographic scans patients need over time, minimising their radiation exposure.

Indexed as

KyphosisRadiographyScheuermann DiseaseThoracic VertebraeAdolescentChildFemaleHumansMaleProspective StudiesReproducibility of ResultsRadiation-freeRasterstereographyScheuermann's diseaseThoracic kyphosisValidation study

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