Measurement of scoliosis Cobb angle by end vertebra tilt angle method
Abstract Background Scoliosis is a common deformity, and its severity is usually assessed by measuring the Cobb angle on the spinal X-ray film. The measurement of the Cobb angle is an important basis for selecting therapeutic methods and evaluating therapeutic effects. To measure and calculate the s...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-018-0928-5 |
| _version_ | 1811300589372440576 |
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| author | Jing Wang Jin Zhang Rui Xu Tie Ge Chen Kai Sheng Zhou Hai Hong Zhang |
| author_facet | Jing Wang Jin Zhang Rui Xu Tie Ge Chen Kai Sheng Zhou Hai Hong Zhang |
| author_sort | Jing Wang |
| collection | DOAJ |
| description | Abstract Background Scoliosis is a common deformity, and its severity is usually assessed by measuring the Cobb angle on the spinal X-ray film. The measurement of the Cobb angle is an important basis for selecting therapeutic methods and evaluating therapeutic effects. To measure and calculate the scoliosis Cobb angle by end vertebra tilt angle method (tilt angle method) and assess its accuracy and usability. Methods It is deduced that the Cobb angle is the sum of upper and lower end vertebra tilt angles through the law of plane geometry. The project included 32 patients with scoliosis who have received treatment in our hospital from June 2011 to July 2016, whose Cobb angles were measured at various segments (total 50). The measuring results of the tilt angle method and the classical method were compared, and the time spent for the measurement of the two groups was respectively recorded with an electronic stopwatch for comparison. The interference of line marking in imaging data pixel in the two groups was compared using Beyond Compare software. Results The measuring results through PACS (picture archiving and communication systems) were regarded as the reference standard. There was no statistical difference for measuring the Cobb angle between the PACS method, end vertebra tilt angle method, and classical method. The end vertebra tilt angle method takes less measuring time than the classical method. The measuring error between the classical method and the tilt angle method showed no statistical significance for the difference. Conclusion The scoliosis Cobb angle can be measured accurately and rapidly using the principle of the Cobb angle being equal to the sum of tilt angles of the upper and lower end vertebra, where in the film data of imaging will not be easily contaminated. Under special conditions, the average measuring error is ± 3°. |
| first_indexed | 2024-04-13T06:53:28Z |
| format | Article |
| id | doaj.art-c9fbc7d1e49a4de18dc17c51567a097a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:53:28Z |
| publishDate | 2018-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-c9fbc7d1e49a4de18dc17c51567a097a2022-12-22T02:57:20ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-09-011311710.1186/s13018-018-0928-5Measurement of scoliosis Cobb angle by end vertebra tilt angle methodJing Wang0Jin Zhang1Rui Xu2Tie Ge Chen3Kai Sheng Zhou4Hai Hong Zhang5Department Of Orthopedics, Orthopedics Key Laboratory of Gansu Province, Lanzhou University Second HospitalDepartment Of Orthopedics, Orthopedics Key Laboratory of Gansu Province, Lanzhou University Second HospitalRadiology Department, Lanzhou University Second HospitalDepartment Of Orthopedics, Orthopedics Key Laboratory of Gansu Province, Lanzhou University Second HospitalDepartment Of Orthopedics, Orthopedics Key Laboratory of Gansu Province, Lanzhou University Second HospitalDepartment Of Orthopedics, Orthopedics Key Laboratory of Gansu Province, Lanzhou University Second HospitalAbstract Background Scoliosis is a common deformity, and its severity is usually assessed by measuring the Cobb angle on the spinal X-ray film. The measurement of the Cobb angle is an important basis for selecting therapeutic methods and evaluating therapeutic effects. To measure and calculate the scoliosis Cobb angle by end vertebra tilt angle method (tilt angle method) and assess its accuracy and usability. Methods It is deduced that the Cobb angle is the sum of upper and lower end vertebra tilt angles through the law of plane geometry. The project included 32 patients with scoliosis who have received treatment in our hospital from June 2011 to July 2016, whose Cobb angles were measured at various segments (total 50). The measuring results of the tilt angle method and the classical method were compared, and the time spent for the measurement of the two groups was respectively recorded with an electronic stopwatch for comparison. The interference of line marking in imaging data pixel in the two groups was compared using Beyond Compare software. Results The measuring results through PACS (picture archiving and communication systems) were regarded as the reference standard. There was no statistical difference for measuring the Cobb angle between the PACS method, end vertebra tilt angle method, and classical method. The end vertebra tilt angle method takes less measuring time than the classical method. The measuring error between the classical method and the tilt angle method showed no statistical significance for the difference. Conclusion The scoliosis Cobb angle can be measured accurately and rapidly using the principle of the Cobb angle being equal to the sum of tilt angles of the upper and lower end vertebra, where in the film data of imaging will not be easily contaminated. Under special conditions, the average measuring error is ± 3°.http://link.springer.com/article/10.1186/s13018-018-0928-5End vertebraTilt angleScoliosisCobb angle |
| spellingShingle | Jing Wang Jin Zhang Rui Xu Tie Ge Chen Kai Sheng Zhou Hai Hong Zhang Measurement of scoliosis Cobb angle by end vertebra tilt angle method Journal of Orthopaedic Surgery and Research End vertebra Tilt angle Scoliosis Cobb angle |
| title | Measurement of scoliosis Cobb angle by end vertebra tilt angle method |
| title_full | Measurement of scoliosis Cobb angle by end vertebra tilt angle method |
| title_fullStr | Measurement of scoliosis Cobb angle by end vertebra tilt angle method |
| title_full_unstemmed | Measurement of scoliosis Cobb angle by end vertebra tilt angle method |
| title_short | Measurement of scoliosis Cobb angle by end vertebra tilt angle method |
| title_sort | measurement of scoliosis cobb angle by end vertebra tilt angle method |
| topic | End vertebra Tilt angle Scoliosis Cobb angle |
| url | http://link.springer.com/article/10.1186/s13018-018-0928-5 |
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