Supplementum 3+4/2007 - Společnost pro pojivové tkáně

Our results are in concord with the
findings in literature. There was no association
between the Cobb angle, vertebral
rotation and rib deformity (2).
Discussion
Some researchs think that first appears
development of the rib deformity and then
follows spinal deformation (3), (4). Some
studies indicate, that deviation in the frontal
plane, rotation of vertebra and shortening
of thoracic spine cause deformation
of the rib cage (1), (5).
In the presented paper were observed
the axial rotation of vertebra (AVR),
rib deformation (ARR), symmetry of thorax
(ST) and topographical asymmetry of
the trunk (ATR) in the transversal plane.
However, the aim was not to explain origin
of deformation (thorax – spine), but
description of shape back changes and
rotation of vertebrae in the transversal
plane. Different positions of the patient
and different examinations show other
quality and extent of spinal and trunk
deformation.
Certain disadvantage of the MRI is
the supine position of examination. No
description is available for mechanisms
and changes in spinal shape induced by
postural changes for possible influence of
gravity, deformation of individual parts of
the thorax etc. either. According to Yazici
et al (7), if the patient is lying supine on
the table, the scoliosis curve corrects spontaneously
to some degree on the transverse
plane as well as on the frontal plane.
The challenge could be developed device
of Society FONAR (Melville, NY) called
Stand-Up MRI, Upright Imaging, Standing
Ovation or Position MRI, which allows all
parts of the body picture in various positions
(Cigna Healthecare, 2004).
Although in presented case report was
deformation of the spine evaluated from
MRI in supine position, the results were in
concord with results of Stokes (6), which
observed rotation by means of stereoradiography
and steretopography – rotation of
rib and trunk were in general lesser then
rotation of the vertebra.
Conclusion
Patients as well as their parents and
their peers visualize the scoliosis deformity
as a trunk deformity. Although correlations
exist between spine and trunk deformity,
they are not always strong.
There are qualitative (directional) correlations
between deformation of the torso
and spine, which are given anatomically,
but quantitatively they are irregular and
do not necessarily have to be expressed.
Preliminary results show that rotation of
the vertebrae is greater than deformation
of the ribs.
Key Words: axial rotation, vertebra,
rib, deformation, scoliosis
References
1. CLOSKEY R.F., SCHULTZ A.B. (1993): Rib
cage deformities in scoliosis: spine morfology,
rib cage stiffness, and tomography imaging, J.
Orthop Res., 11 (5), s. 730–7.
2. Erkula G., Sponseller P.D., Kiter A.E. (2003):
Rib deformity in scoliosis, Eur Spine J., 12
s. 281–287.
3. GRIVAS T.B., FANTAS S., POLYZOIS B.D.,
SAMELIS P. (2002): The Double Rib Contour
Sign (DRCS) in lateral spinal radiographs: aetiologic
implications for scoliosis, Stud Health
Technol Inform., 88, s. 38–43.
360 The 9 th Prague-Sydney-Lublin Symposium