M. Kanayama et al., A MATHEMATICAL EXPRESSION OF 3-DIMENSIONAL CONFIGURATION OF THE SCOLIOTIC SPINE, Journal of biomechanical engineering, 118(2), 1996, pp. 247-252
Three-dimensional configuration of the scoliotic spine was mathematica
lly expressed by a spatial curve passing through each vertebral centro
id (''vertebral body line''). Three-dimensional location of the verteb
ral centroid was determined from digitization on the frontal and sagit
tal roentgenograms. Cobb angle, which is clinically used for measuring
scoliosis curvature, was calculated in space to evaluate scoliosis de
formity three-dimensionally In forty-five scoliotic spines, regardless
of curvature and curve patterns, the spinal configurations were excel
lently approximated by vertebral body lines. Vertebral body lines swer
ved from the sagittal plane at the end vertebrae, but aligned on a cer
tain plane within the scoliosis region. Three-dimensional Cobb angle,
which was larger than that in the frontal plane, can be utilized to ev
aluate the scoliosis deformity.