This paper presents a comparison of 4 different methods used to describe th
e "plane of maximum deformity" of scoliotic spines. It was conducted on 31
scoliotic subjects with a right thoracic curve. Most techniques are reprodu
cible and are little influenced by reconstruction errors. The measurement o
f the plane of maximum deformity gives quite different orientations and the
re is not a "best technique", even if most of them are correlated. The spin
al curves presented different shape patterns, which may explain the discrep
ancy in the results between the methods. We recommend using the segment bet
ween the end vertebrae to calculate the plane of maximum deformity, and bei
ng careful when comparing published results using these techniques because
they are not equivalent, even if correlated.