Leg length discrepancy and adolescent idiopathic scoliosis: Clinical and radiological characteristics

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dc.contributor.authorBüyükaslan, Ahsen
dc.contributor.authorAbul, Kadir
dc.contributor.authorBerk, Haluk
dc.contributor.authorYılmaz, Hürriyet
dc.date.accessioned2022-12-21T12:27:25Z
dc.date.available2022-12-21T12:27:25Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractPurpose This retrospective study aimed to present the clinical and radiological features of functional scoliosis due to LLD and LLD concurrent with AIS; it also aimed to define their relationships for differentiating functional scoliosis due to LLD and LLD concurrent with AIS. Methods This study was conducted as a single-center retrospective comparative study on 47 scoliosis patients with diagnosed LLD, aged 10-18 years. Cases with a diagnosis of structural LLD were divided into two groups according to the presence or absence of concurrent AIS. Data on demographics and the angle of trunk rotation on a sacral basis (ATR(sacrum)) were recorded. Limb length was clinically measured with a tape measure and clinical LLD (C-LLD) scoliometer test. Cobb angle, axial rotation, pelvic obliquity, and radiological LLD (R-LLD) were obtained from standing spine radiographs and measured by two blinded orthopedic spine surgeons. Results The prevalence of LLD was 6.7% in scoliosis patients in our study population. Cobb angle and apical rotation were higher in the LLD concurrent with AIS group than in the LLD group (p <= 0.05). The C-LLDscoliometer test results were strongly correlated with both C-LLDtape measure (r = 0.651; p = 0.000) and ATR(sacrum) (r = 0.688; p = 0.000). Conclusion LLD may develop as a result of adaptive changes due to scoliosis, or a concurrent condition to scoliosis. Cobb angle and apical rotation are the features that differentiate AIS from functional scoliosis in patients with LLD. The C-LLD scoliometer test can be an effective, practical, and useful method for measuring C-LLD, but its validity and reliability should be determined. Level of evidence III.
dc.identifier.citationBüyükaslan, A., Abul, K., Berk, H. ve Yılmaz, H. (2022). Leg length discrepancy and adolescent idiopathic scoliosis: Clinical and radiological characteristics. Spine Deformity, 10(2), 307-314. https://doi.org/10.1007/s43390-021-00417-0
dc.identifier.doi10.1007/s43390-021-00417-0
dc.identifier.endpage314
dc.identifier.issn2212-134X
dc.identifier.issn2212-1358
dc.identifier.issue2
dc.identifier.pmid34581993
dc.identifier.scopus2-s2.0-85115836411
dc.identifier.scopusqualityQ1
dc.identifier.startpage307
dc.identifier.urihttps://doi.org/10.1007/s43390-021-00417-0
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10157
dc.identifier.volume10
dc.identifier.wos000701632200001en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBüyükaslan, Ahsen
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofSpine Deformityen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLeg Length Discrepancy
dc.subjectLeg Length Discrepancy Scoliometer Test
dc.subjectPelvic Obliquity
dc.subjectScoliosis
dc.titleLeg length discrepancy and adolescent idiopathic scoliosis: Clinical and radiological characteristics
dc.typeArticle

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