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Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le lundi 21 janvier 2019
Doi : 10.1016/j.otsr.2018.10.021
Received : 4 July 2018 ;  accepted : 5 October 2018
The third dimension of scoliosis: The forgotten axial plane
 

Tamás S. Illés a, b, c, , Francois Lavaste d, Jean F. Dubousset c
a Orthopaedic and Trauma Surgery, CHU–Brugmann, Université Libre de Bruxelles/Vrije Universiteit Brussel, Brussels, Belgium 
b Orthopaedic and Trauma Surgery, CHU–Odense and Clinical Research Institute, Denmark South University, Odense, Denmark 
c Académie Nationale de Médecine, 16, rue Bonaparte, 75006 Paris, France 
d Institute of Biomechanics Human Georges-Charpak, Arts et métiers ParisTech, 151, boulevard de l'Hôpital, 75013 Paris, France 

Corresponding author. Département de chirurgie orthopédique et de traumatologie, CHU–Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium.Département de chirurgie orthopédique et de traumatologie, CHU–Brugmann4, place Van GehuchtenBrussels1020Belgium
Abstract

Idiopathic scoliosis is a three-dimensional (3D) deformity of the spine. In clinical practice, however, the diagnosis and treatment of scoliosis consider only two dimensions (2D) as they rely solely on postero-anterior (PA) and lateral radiographs. Thus, the projections of the deformity are evaluated in only the coronal and sagittal planes, whereas those in the axial plane are disregarded, precluding an accurate assessment of the 3D deformity. A universal dogma in engineering is that designing a 3D object requires drawing projections of the object in all three planes. Similarly, when dealing with a 3D deformity, knowledge of the abnormalities in all three planes is crucial, as each plane is as important as the other two planes. This article reviews the chronological development of axial plane imaging and spinal deformity measurement.

The full text of this article is available in PDF format.

Keywords : Scoliosis, Axial plane, Top view, Vertebral vector




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