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Gravity-induced coronal plane joint moments in adolescent idiopathic scoliosis

Overview of attention for article published in Scoliosis and Spinal Disorders, December 2015
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Title
Gravity-induced coronal plane joint moments in adolescent idiopathic scoliosis
Published in
Scoliosis and Spinal Disorders, December 2015
DOI 10.1186/s13013-015-0060-9
Pubmed ID
Authors

Bethany E. Keenan, Graeme J. Pettet, Maree T. Izatt, Geoffrey N. Askin, Robert D. Labrom, Mark J. Pearcy, Clayton Adam

Abstract

Adolescent Idiopathic Scoliosis is the most common type of spinal deformity, and whilst the isk of progression appears to be biomechanically mediated (larger deformities are more likely to progress), the detailed biomechanical mechanisms driving progression are not well understood. Gravitational forces in the upright position are the primary sustained loads experienced by the spine. In scoliosis they are asymmetrical, generating moments about the spinal joints which may promote asymmetrical growth and deformity progression. Using 3D imaging modalities to estimate segmental torso masses allows the gravitational loading on the scoliotic spine to be determined. The resulting distribution of joint moments aids understanding of the mechanics of scoliosis progression. Existing low-dose CT scans were used to estimate torso segment masses and joint moments for 20 female scoliosis patients. Intervertebral joint moments at each vertebral level were found by summing the moments of each of the torso segment masses above the required joint. The patients' mean age was 15.3 years (SD 2.3; range 11.9-22.3 years); mean thoracic major Cobb angle 52(°) (SD 5.9(°); range 42-63(°)) and mean weight 57.5 kg (SD 11.5 kg; range 41-84.7 kg). Joint moments of up to 7 Nm were estimated at the apical level. No significant correlation was found between the patients' major Cobb angles and apical joint moments. Patients with larger Cobb angles do not necessarily have higher joint moments, and curve shape is an important determinant of joint moment distribution. These findings may help to explain the variations in progression between individual patients. This study suggests that substantial corrective forces are required of either internal instrumentation or orthoses to effectively counter the gravity-induced moments acting to deform the spinal joints of idiopathic scoliosis patients.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 34 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 3%
Unknown 33 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 15%
Student > Postgraduate 5 15%
Researcher 4 12%
Other 1 3%
Student > Master 1 3%
Other 3 9%
Unknown 15 44%
Readers by discipline Count As %
Medicine and Dentistry 9 26%
Engineering 5 15%
Agricultural and Biological Sciences 2 6%
Nursing and Health Professions 2 6%
Neuroscience 1 3%
Other 1 3%
Unknown 14 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 22 December 2015.
All research outputs
#19,942,887
of 25,371,288 outputs
Outputs from Scoliosis and Spinal Disorders
#242
of 320 outputs
Outputs of similar age
#264,751
of 380,084 outputs
Outputs of similar age from Scoliosis and Spinal Disorders
#6
of 8 outputs
Altmetric has tracked 25,371,288 research outputs across all sources so far. This one is in the 18th percentile – i.e., 18% of other outputs scored the same or lower than it.
So far Altmetric has tracked 320 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.5. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 380,084 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 2 of them.