Evidence map›Paper›PMID 40361793›Full record

ArticleHealthcare (Basel, Switzerland)2025

The Contribution of the Double Rib Contour Sign and the Rib Index to the Study of Scoliogeny, Thoracic Deformity, Progression, Outcome of Treatments and Costoplasty for Idiopathic Scoliosis.

Theodoros B Grivas, Anastasios G Christodoulou, Evangelos A Christodoulou, Galateia Katzouraki, Marios G Lykissas, Panayiotis J Papagelopoulos, Elias C Papadopoulos, Sotirios Papastefanou, Nikolaos Sekouris, Panayotis N Soucacos and 2 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 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
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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

12 authors.

Theodoros B GrivasDepartment of Orthopedics & Traumatology, "Tzaneio" General Hospital of Piraeus, 185 36 Piraeus, Greece.ORCID 0000-0003-3018-5168
Anastasios G ChristodoulouFirst Orthopaedic Department, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
Evangelos A ChristodoulouSt. Vinzenz Hospital, 40225 Düsseldorf, Germany.
Galateia KatzourakiSpinal Department of Hygeia Hospital, 4 Erythrou Stavrou, 151 23 Maroussi, Greece.ORCID 0000-0003-0229-0008
Marios G LykissasMetropolitan Hospital, Ethnarchou Makariou 9 & El. Venizelou 1, Neo Faliro, 185 47 Pitaeus, Greece.
Panayiotis J PapagelopoulosFirst Department of Orthopedic Surgery, Athens University Medical School, "Attikon" University General Hospital, Rimini 1, 124 62 Athens, Greece.
Elias C PapadopoulosHygeia Hospital, 4 Erythrou Stavrou, 151 23 Maroussi, Greece.
Sotirios PapastefanouAthens Medical Centre & Mitera Children's Hospital, Vasilissis Sofia's Avenue, 115 28 Athens, Greece.
Nikolaos Sekouris1st Department of Orthopedics, P. & A. Kyriakou Children's Hospital, 23 Levadeias, 115 27 Athens, Greece.
Panayotis N SoucacosOrthopaedic Research & Education Center, "Attikon" University General Hospital, 124 62 Athens, Greece.
Konstantinos C Soultanis1st Department of Orthopaedics, School of Medicine, National & Kapodistrian University of Athens, 124 62 Athens, Greece.
Elias Vasiliadis3rd Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, KAT Hospital, 165 41 Athens, Greece.ORCID 0000-0003-2428-5250

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This opinion article refers to the "double rib contour sign" and to the rib index (DRCS and RI), to their reliability study results in the chest radiographs of a control group and to their validity study results. These two parameters were introduced by the first author in this report. The introduction of the Segmental Rib Index (SRI) and its relation to spinal deformity is also discussed. The RI has been confirmed to be a strong surrogate for scoliometric readings in idiopathic scoliosis (IS). The clinical applications of the RI are analyzed for the following: (a) the documentation of deformity; (b) the assessment of physiotherapy outcomes (PSSEs); (c) the documentation of the outcomes of brace treatment; (d) the documentation of the pre- and post-operative assessment of thoracic deformity correction in different types of instrumentation; (e) its usage in prognosticating accelerated deterioration in skeletally mature adolescent idiopathic scoliosis (AIS) curves of 40-50 degrees; and (f) its usage in the recognition of the proper rib level for thoracoplasty/costoplasty. The emerging etiological-scoliogenic implications from the use of the DRCS and RI are described. The rotation of the trunk and vertebral bodies as interrelated, but distinct parameters are finally analyzed.

Indexed as

costoplastydouble rib contour signDRCSidiopathic scoliosisprogressionRIrib humprib indexscoliogenesissegmental rib indexSRIthoracic deformitytreatment

Identifiers

PMID40361793
PMCPMC12071471

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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.