Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing
Abstract Scoliosis is a three-dimensional spinal deformity, and paraspinal muscles play an important role as stabilizers of the spinal curve. In this prospective study, we compared elasticity changes in the paraspinal muscles of adolescent patients with scoliosis after surgery or bracing. Elasticity...
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Nature Portfolio
2024-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-56189-w |
| _version_ | 1797266777101565952 |
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| author | Hyun Ji Lim Haesung Yoon Jisoo Kim Kyunghwa Han Yuri So Mincheol Park Kun-Bo Park Mi-Jung Lee |
| author_facet | Hyun Ji Lim Haesung Yoon Jisoo Kim Kyunghwa Han Yuri So Mincheol Park Kun-Bo Park Mi-Jung Lee |
| author_sort | Hyun Ji Lim |
| collection | DOAJ |
| description | Abstract Scoliosis is a three-dimensional spinal deformity, and paraspinal muscles play an important role as stabilizers of the spinal curve. In this prospective study, we compared elasticity changes in the paraspinal muscles of adolescent patients with scoliosis after surgery or bracing. Elasticity was measured on the concave and convex sides of the paraspinal muscles at the apex of the curve at the beginning of treatment and 6 and 12 months after treatment. Twenty-six patients with correction surgery (n = 15) or bracing (n = 11) were included. At initial evaluation, the Cobb angle was larger in the surgery group (72.3 ± 20.2° in surgery vs. 30.6 ± 5.1° in brace, p < 0.001). The estimated mean elasticity value of the paraspinal muscles was lower in the surgery group at baseline on the convex side (15.8 vs. 22.8 kPa, p = 0.037) and 6 months on both the concave (12.1 vs. 22.7 kPa, p = 0.004) and convex (13.4 vs. 23.8 kPa, p = 0.005) sides. There was a significant stiffness decrease from baseline to 6 months on the concave side in the surgery group (5.9 kPa, p = 0.025). However, the elasticity change recovered at 12 months without significant differences between the two groups. |
| first_indexed | 2024-04-25T01:06:05Z |
| format | Article |
| id | doaj.art-838d9ab0f0d44adfb7992b21a8547e73 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-25T01:06:05Z |
| publishDate | 2024-03-01 |
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| spelling | doaj.art-838d9ab0f0d44adfb7992b21a8547e732024-03-10T12:13:34ZengNature PortfolioScientific Reports2045-23222024-03-011411810.1038/s41598-024-56189-wComparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracingHyun Ji Lim0Haesung Yoon1Jisoo Kim2Kyunghwa Han3Yuri So4Mincheol Park5Kun-Bo Park6Mi-Jung Lee7Department of Pediatric Radiology, Severance Children’s Hospital, Yonsei University College of MedicineDepartment of Pediatric Radiology, Severance Children’s Hospital, Yonsei University College of MedicineDepartment of Pediatric Radiology, Severance Children’s Hospital, Yonsei University College of MedicineDepartment of Radiology, Research Institute of Radiological Science and Center for Clinical Imaging Data Science, Yonsei University College of MedicineDepartment of Biostatistics and Computing, Yonsei University Graduate SchoolDivision of Pediatric Orthopedic Surgery, Severance Children’s Hospital, Yonsei University College of MedicineDivision of Pediatric Orthopedic Surgery, Severance Children’s Hospital, Yonsei University College of MedicineDepartment of Pediatric Radiology, Severance Children’s Hospital, Yonsei University College of MedicineAbstract Scoliosis is a three-dimensional spinal deformity, and paraspinal muscles play an important role as stabilizers of the spinal curve. In this prospective study, we compared elasticity changes in the paraspinal muscles of adolescent patients with scoliosis after surgery or bracing. Elasticity was measured on the concave and convex sides of the paraspinal muscles at the apex of the curve at the beginning of treatment and 6 and 12 months after treatment. Twenty-six patients with correction surgery (n = 15) or bracing (n = 11) were included. At initial evaluation, the Cobb angle was larger in the surgery group (72.3 ± 20.2° in surgery vs. 30.6 ± 5.1° in brace, p < 0.001). The estimated mean elasticity value of the paraspinal muscles was lower in the surgery group at baseline on the convex side (15.8 vs. 22.8 kPa, p = 0.037) and 6 months on both the concave (12.1 vs. 22.7 kPa, p = 0.004) and convex (13.4 vs. 23.8 kPa, p = 0.005) sides. There was a significant stiffness decrease from baseline to 6 months on the concave side in the surgery group (5.9 kPa, p = 0.025). However, the elasticity change recovered at 12 months without significant differences between the two groups.https://doi.org/10.1038/s41598-024-56189-w |
| spellingShingle | Hyun Ji Lim Haesung Yoon Jisoo Kim Kyunghwa Han Yuri So Mincheol Park Kun-Bo Park Mi-Jung Lee Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing Scientific Reports |
| title | Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| title_full | Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| title_fullStr | Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| title_full_unstemmed | Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| title_short | Comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| title_sort | comparison of elasticity changes in the paraspinal muscles of adolescent patients with scoliosis treated with surgery and bracing |
| url | https://doi.org/10.1038/s41598-024-56189-w |
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