Open AccessComputed Tomographic Semiotics of Apical Vertebrae in Patients with Idiopathic Scoliosis Aged from 14 to 18 years, Depending on the Magnitude of Spinal Deformity
Author(s) -
Ю. Л. Зейналов,
Г. В. Дьячкова,
А. В. Бурцев,
К. А. Дьячков,
И. В. Сутягин,
Т. А. Ларионова
Publication year - 2021
Publication title -
radiologiâ - praktika
Language(s) - English
Resource type - Journals
ISSN - 2713-0118
DOI - 10.52560/2713-0118-2021-5-11-27
Subject(s) - scoliosis , medicine , deformity , kyphosis , idiopathic scoliosis , vertebral column , radiology , spinal cord , rachis , orthodontics , pathognomonic , radiography , surgery , disease , pathology , psychiatry
Idiopathic scoliosis, as many authors think, being idiopathic in terms of not fully clear etiology of the disease, due to the most complicated long-term studies, has a certain theory of the pathogenesis of scoliosis, which includes the disharmony of the longitudinal growth of the spine and spinal cord and the formation of vertebral torsion. The application of various versions of modern vertebral instrumentation for 20 years made it possible to develop a differentiated approach to the choice of surgical intervention, taking into account the patient’s age and the peculiarities of the deformed spine. Nevertheless, the use of current diagnostic methods indicated that not all the details of the deformed vertebral structure have been studied, in particular the apical ones, that are usually more changed being at the apex of the deformity. The application of multislice computed tomography (MSCT) and current statistical methods made it possible to reveal the structural features of the apical vertebrae in the group of adolescent scoliosis (14–18 years old), that is important for increasing the effectiveness of preoperative planning and improving the results of idiopathic scoliosis treatment being one of the most difficult problems of the spine surgery.