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NEW MEASUREMENTS OF TRUNK ASYMMETRY SCORE RATHER THAN COBB ANGLE FOR THE COSMETIC ASPECT OF SCOLIOSIS. Chin-Yi CHUO Kaohsiung Municipal Hsiao-Kang Hospital Kaohsiung, Taiwan. Neurologic deficits are very rare Syrinx, congenital Respiratory deficits are not seen till thoracic curve >90°
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NEW MEASUREMENTS OF TRUNK ASYMMETRY SCORE RATHER THAN COBB ANGLE FOR THE COSMETIC ASPECT OF SCOLIOSIS Chin-Yi CHUO Kaohsiung Municipal Hsiao-Kang Hospital Kaohsiung, Taiwan
Neurologic deficits are very rare Syrinx, congenital Respiratory deficits are not seen till thoracic curve >90° Pain is unusual till onset of DJD Pre-emptive fusion, stress transfer For most cases- We are correcting the deformity. So it is a cosmetic surgery With Idiopathic Scoliosis …
A Tale of Two Girls Similar gross appearance: * R’t shoulder drop * Asymmetric waist line
The girl on the right : high Cobb angle with high deformity T9 9 L3 3
Deformity ≠ Cobb angleSimilar gross appearance with big different Cobb angles
Trunk Asymmetry Score Rib cage tilt > 10 ° Thoracic shift >15% Thoracic containment: loss Shoulder drop > 2 cm Axial inclination >5 ° and hump height >1.5 cm all cause a noticeable loss of symmetry, while symmetry is beauty.
1.Rib Cage Tilt Angle from the vertical 7° Should be 0°
2.Thoracic Shift a b Widest point 21% %= (b-a)/2(a+b) Should be 0%
3.Thoracic Containment Not Contained
#278777 13+2♀ 5. Axial inclination and hump height 7 14°