Scoliosis
Conditions
Keywords
scoliosis, low dose, arthrodesis, dual-energy CT
Brief summary
The aim of the study is to evaluate the diagnostic accuracy of low-dose dual energy CT in the pre-surgical planning of patients with progression of scoliosis
Detailed description
CT imaging is the gold standard for assessing bone dysmorphism and vertebral morphometry during the pre-surgical planning of vertebral arthrodesis. It is necessary in the definition of the fixation points to avoid malposition of transpedicular screws and potential visceral, vascular or neurological damage. It is known that multislice CT involves an increased radiation exposure for patients, while dual-energy CT uses a low-dose acquisition protocol and VEO reconstruction software. The aim of the study is to evaluate the diagnostic accuracy of low-dose dual energy CT in the pre-surgical planning of patients with progression of scoliosis who are candidated for vertebral arthrodesis.
Interventions
Low-dose dual-energy CT imaging
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with progression of scoliosis without vertebral arthrodesis * patients able to maintain immobility for the duration of the exam * patients from 5 to 20 years old
Exclusion criteria
* pregnancy * vertebral arthrodesis * patients unable to maintain immobility for the duration of the exam * non-compliant patients * obese patients * patients younger than 5 years old or older than 20 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic accuracy | Week 1 (post-surgery) | To evaluate the percentage of malpositioning of transpedicular screw. A percentage of malpositioning lower than 10% will be considered as acceptable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiation exposure | Baseline (pre-surgery) and week 1 (post-surgery) | Collection of dosimetric data |
Countries
Italy