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
Responsiveness of trunk asymmetry measurements in clinical photographs after adolescent idiopathic scoliosis surgery.
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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Who cites it
1 citing paper in PubMed.
- Clinical Failure of General-Purpose AI in Photographic Scoliosis Assessment: A Diagnostic Accuracy Study.Medicina (Kaunas, Lithuania) · 2025Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the correlation between changes in body image perception and trunk asymmetry measured in clinical photographs after adolescent idiopathic scoliosis (AIS) surgical treatment. MATERIALS AND
methodsThis is a prospective study of patients operated on for AIS with Lenke curves 1 and 2. Preoperatively and one year after surgery, patients underwent full-spine X-rays and digital photographs. They also completed the SRS-22R and Trunk Appearance Perception Scale (TAPS) questionnaires. On X-rays, the coronal Cobb angle was measured. In back torso photographs, the shoulder (SHA), axillary (AHA), and waist (WHA) height angles, waist fold angle (WA-r and WA-I), and the right/left ratio of hemitrunks (ArT) were measured. The pre- and post-surgery mean differences for all variables were calculated. The correlation between the improvement in the photographic variables and the questionnaire scores was also analyzed.
results52 patients (82.7% female; mean age 15.6 years, mean preoperative Cobb 65.8°) were included. Significant differences were found between pre and postoperative mean scores in all variables. No correlation was found between the change in trunk asymmetry photographic parameters and the change in SRS-22/ TAPS imaging scale scores.
conclusionsSurgery for idiopathic scoliosis significantly improves radiological deformity, trunk asymmetry, perception of trunk deformity, and body image. Photographic measures show significant responsiveness after surgery. The effect size of the change in photographic parameters was similar to that observed in the SRS-22 questionnaire and less than the radiological. However, no relationship was found between the changes observed in patient reported, radiological and photographic measures.
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