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

Not yet recruiting

• Conditions: Scoliosis; Kyphosis; Radiography
• Interventions: Diagnostic Test: Spine radiography

• Registration Number: NCT06369883
• Lead Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital

Brief Summary

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.

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 Timeline

• Study First Submitted: 2022-08-23
• Status Verified: 2024-04
• Study First Submitted QC: 2024-04-12
• Last Update Submitted: 2024-04-12
• Study First Posted: 2024-04-17
• Last Update Posted: 2024-04-17
• Study Start: 2024-05-01
• Primary Completion: 2024-06-30
• Study Completion: 2024-08-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 632

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 & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Subjects under 18 years of age who underwent spinal radiography	Spine radiography	Angle measurement with Cobb method in posterior-anterior and lateral radiographs of patients who underwent spinal radiographs

Primary Outcome Measures

Name	Time	Method
Who should have full spine radiographs?	3 month	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.

Secondary Outcome Measures

Name	Time	Method
We aimed to determine the frequency of kyphosis, types and percentages of scoliosis detected on the radiographs.	3 month	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.