Evidence map›Paper›PMID 41513754›Full record

ArticleScientific reports2026

Relationship between preoperative supine radiographs and intraoperative coronal spinal alignment in thoracic adolescent idiopathic scoliosis.

François Luc, David Pichard, Nicolas Mainard, Anne-Laure Simon, Elie Saghbiny, Mourad Ould-Slimane, Brice Ilharreborde

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In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

François LucDepartment of Pediatric Surgery, Rouen University Hospital, Rouen, France. fraluc.interne76@gmail.com.
David PichardDepartment of Pediatric Surgery, Rouen University Hospital, Rouen, France.
Nicolas MainardDepartment of Pediatric Surgery, Lille University Hospital, Lille, France.
Anne-Laure SimonDepartment of Pediatric Surgery, Rouen University Hospital, Rouen, France.
Elie SaghbinyISIR, UMR 7222 Sorbonne University, CNRS, U1150 INSERM, Paris, France.
Mourad Ould-SlimaneDepartment of Orthopaedic Surgery, Spine Unit, Rouen University Hospital, Rouen, France.
Brice IlharrebordeDepartment of Pediatric Orthopaedic Surgery, Paris Cité University, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significant variability exists among surgeons regarding planning methods for adolescent idiopathic scoliosis (AIS) surgery. Lenke et al. advocated the use of preoperative supine full-spine radiographs, but their accuracy in predicting intraoperative alignment remains debated. This study aimed to compare preoperative supine radiographs with intraoperative prone radiographs during AIS posterior fusion. A total of 139 patients undergoing AIS posterior fusion at a single center were prospectively studied. Frontal radiographic parameters from preoperative supine full-spine films were compared with those from prone radiographs at the beginning of surgery to verify the lower instrumented vertebra (LIV). Pearson correlation coefficients assessed the relationship between preoperative supine and intraoperative non-instrumented (NI) radiographs. Strong correlations were found for thoracic and lumbar Cobb angles (r > 0.8). The main thoracic angle decreased from 46° to 44° (mean difference 2°, p = 0.004), and the lumbar angle from 27° to 25° (mean difference 2°, p < 0.0001). The C7-Central Sacral Vertical Line (CSVL) correlation was weaker (r = 0.3). All curves showed significant reduction intraoperatively compared with preoperative supine films (p = 0.045 for thoracic and p = 0.03 for lumbar). The apical vertebral translation ratio (AVTMT/AVTL) showed no significant difference (p = 0.2). Preoperative supine radiographs reliably predict intraoperative alignment and are valuable for AIS surgical planning. However, parameters related to CSVL, LIV tilt, and Disc Wedging Angle (DWA) may be more influenced by positioning and soft-tissue release.

Indexed as

RadiographyScoliosisSpinal FusionThoracic VertebraeAdolescentChildFemaleHumansLumbar VertebraeMalePreoperative CareProspective StudiesSupine PositionAdolescentIdiopathicIntraoperative radiographPreoperative supine radiographScoliosis

Identifiers

PMID41513754
PMCPMC12867983

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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.