How Often and What Type of Deformity is Detected in All Spine Radiographs?

Medical Doctor, Physiatrist

The study will be done retrospectively.The aim of this study is to retrospectively examine the spinal pathologies of patients with a prediagnosis of spinal deformity and for whom spinal radiography is requested and to evaluate the clinical features of these patients.

Study Overview

• Status: Not yet recruiting
• Conditions: Scoliosis; Kyphosis; Radiography
• Intervention / Treatment: Diagnostic test: Spine radiography

Detailed Description

Spinal radiography for scoliosis is the gold standard in the diagnosis, treatment and follow-up of spinal diseases. There are studies showing that unnecessary and repetitive radiographs of patients increase the risk of cancer in older ages. Patients should be thoroughly examined before a spine radiograph is taken. Adam's test should be applied to the patient with scoliosis findings in the physical examination. Spinal radiography for Scoliosis should be requested from those whose trunk rotation angle is 5 degrees or more during Adam's test. The diagnosis of scoliosis is made when the Cobb angle measured on posterior-anterior radiographs is greater than 10 degrees. The diagnosis of kyphosis is made when the Cobb angle measured on lateral radiographs is greater than 50 degrees. Patients with a prediagnosis of spinal deformity and spinal radiographs taken between January 2019 and September 2019 in the Radiology clinic of our hospital will be included in the study. Demographic characteristics of the patients, presence and degree of scoliosis on posterior-anterior radiographs, if present, degree of kyphosis on lateral radiographs, structural pathologies in the spine and clinical features will be investigated.

• Study Type: Observational
• Enrollment (Estimated): 632

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Probability Sample

Study Population

Patients aged 18 and under, those who were requested to have spinal radiographs for scoliosis and kyphosis

Description

Inclusion Criteria:

1. Patients aged 18 and under
2. Those who requested spine radiographs for scoliosis and kyphosis

Exclusion Criteria:

1. Having a history of previous spinal surgery or trauma
2. Repeated radiographs in the same patient

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Subjects under 18 years of age who underwent spinal radiography; Angle measurement with Cobb method in posterior-anterior and lateral radiographs of patients who underwent spinal radiographs	Diagnostic test: Spine radiography; Posterior-anterior and lateral spine radiography

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Who should have full spine radiographs?	The aim of the study is to determine the percentage of unnecessary X-rays required for he definitive diagnosis of spinal deformities and to emphasize the importance of clinical examination in requesting X-rays.	3 month

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
We aimed to determine the frequency of kyphosis, types and percentages of scoliosis detected on the radiographs.	A curvature of the spine of 10° or more detected radiologically in the coronal plane is defined as scoliosis, and a curvature of over 50 degrees in the sagittal plane is defined as kyphosis. The Cobb method is calculated by measuring the angle between the parallel line drawn from the top of the top vertebra where the curvature is greatest and from the bottom of the bottom vertebra. Scoliosis is classified according to the location of the apical vertebra.	3 month

Collaborators and Investigators

• Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Study record dates

Study Major Dates

• Study Start (Estimated): May 1, 2024
• Primary Completion (Estimated): June 30, 2024
• Study Completion (Estimated): August 30, 2024

Study Registration Dates

• First Submitted: August 23, 2022
• First Submitted That Met QC Criteria: April 12, 2024
• First Posted (Actual): April 17, 2024

Study Record Updates

• Last Update Posted (Actual): April 17, 2024
• Last Update Submitted That Met QC Criteria: April 12, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: scoliosis,kyphosis,radiography
• Additional Relevant MeSH Terms: Musculoskeletal Diseases; Spinal Diseases; Bone Diseases; Spinal Curvatures; Scoliosis; Kyphosis
• Other Study ID Numbers: 2022/41

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No