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M??todo n?£o ionizante de rastreamento da escoliose idiop??tica do adolescente em escolares

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Adolescent idiopathic scoliosis (AIS) affects 2% to 4% of young people in Brazil. Repeated exposures to radiation used in the monitoring of the deformity can be harmful to the health. This study aimed to present a photogrammetry protocol as a non-ionizing method to quantify scoliosis and relate it to the Cobb radiological method. Sixteen individuals with idiopathic scoliosis (age: 21.4 ?± 6.1 years, body mass index: 19.8 ?± 0.2 kg/m2) underwent standing posteroanterior X-ray examination of the trunk. Additionally, markers were placed on the spinal processes of the C7 to L5 vertebrae, and posterior trunk photographs were taken. All images were sent for independent analysis by two examiners who were trained in the quantification of scoliosis. The average of the thoracic curvature evaluated through the photogrammetry and Cobb methods were 36.43?° and 36.14?°, respectively. With an average difference of 4.1?°, the methods were not statistically different (p 0.05). As a non-ionizing method that is low cost and portable, photogrammetry may represent a suitable alternative to the radiological method. Further studies are needed for the improvement of non-ionizing techniques in AIS screening.
机译:青少年特发性脊柱侧凸(AIS)影响巴西的2%至4%的年轻人。对监测畸形的辐射反复暴露可能对健康有害。该研究旨在将摄影测量方案作为非电离方法呈现,以量化脊柱侧凸,并将其与COBB放射学方法相关联。具有特发性脊柱侧凸的十六个个体(年龄:21.4?±6.1岁,体重指数:19.8?±0.2 kg / m 2)接受后躯干的后静脉X射线检查。另外,将标记物置于C7至L5椎骨的脊柱过程中,并采取后继拍照。所有图像都被两名审查员进行了独立分析,他们受过扫描脊柱侧凸的量化。通过摄影测量和COBB方法评价的胸曲率的平均分别为36.43Ω°和36.14Ω°。平均差异为4.1?°,该方法没有统计学不同(P <0.05)。作为低成本和便携式的非电离方法,摄影测量可以代表放射方法的合适替代方法。需要进一步研究,以改善AIS筛选中的非电离技术。

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