Matches in SemOpenAlex for { <https://semopenalex.org/work/W110230488> ?p ?o ?g. }
- W110230488 abstract "RESUMELa scoliose idiopathique adolescente est une deformation tridimensionnelle complexe de la colonne vertebrale et de la cage thoracique qui entraine des deformations visibles a la surface du tronc. On remarque generalement une asymetrie des epaules, des omoplates, de la taille et du bassin ainsi qu’une bosse dans le dos. Ces deformations esthetiques constituent, d’une part, les premiers signes d’une scoliose, et d’autre part, la principale preoccupation des jeunes patients qui voient leur corps se developper differemment des jeunes de leur âge. Les outils cliniques utilises pour quantifier les deformations du tronc, comme le scoliometre ou le fil a plomb, sont peu fiables. C’est pourquoi, aujourd’hui, l’evaluation de la scoliose repose principalement sur des radiographies de face et de profil du tronc complet. Celles-ci permettent d’apprecier le type de courbure rachidienne et de quantifier son degre de severite, en fonction de quoi une strategie de traitement sera decidee. Cependant, une exposition repetee des patients aux rayons X peut entrainer des effets indesirables sur leur sante. De plus, ces parametres radiographiques ne permettent pas de documenter les deformations esthetiques. Cette difference notable entre ce que le patient percoit, et ce que le clinicien est capable d’evaluer, peut mener a l’insatisfaction des patients suite au traitement.Comparativement aux radiographies, la surface du tronc reconstruite par les systemes de numeriseurs optiques 3D represente mieux les deformations que les patients observent et dont ils se soucient principalement, comme la gibbosite. De plus, l’absence de rayonnement ionisant est un avantage majeur de ces systemes optiques, qui favorise une evaluation aussi frequente que souhaite. Toutefois, l’absence de consensus sur un ensemble de mesures des deformations de la surface du tronc fait en sorte qu’elles restent encore considerees comme secondaires dans l’evaluation clinique; pourtant elles sont au coeur des preoccupations des patients.De cette double problematique, decoule la question de recherche globale de cette these : comment completer, voire remplacer, les evaluations clinique et radiographique actuelles de la scoliose par de l’information quantitative obtenue de maniere non irradiante et qui permet de prendre davantage en consideration les preoccupations des patients par rapport a leurs deformations esthetiques du tronc ?Parmi les premiers signes de scoliose, la gibbosite est une deformation esthetique qui ne peut etre evaluee sur des radiographies, ni sur une reconstruction 3D de la colonne vertebrale.----------ABSTRACTAdolescent idiopathic scoliosis is a complex three-dimensional deformation of the spine and rib cage which leads to visible deformations at the trunk surface. The first signs of scoliosis include a hump on the back, a lateral shift of the trunk and asymmetries of the shoulders, the scapula, the waist and the hips. These esthetic deformities constitute major concern of patients and the reason for which they seek treatment. Currently, the tools available in clinical practice to quantify trunk deformations have limited reliability. For this reason, current scoliosis assessment is mainly based on frontal and lateral radiographs of the entire spine. These images allow clinicians to determine the type of the spinal curvature and its severity, according to which the treatment strategy is decided. However, the repeated exposure of patients to X-ray radiation can be harmful. Moreover, these radiographic measures do not give an indication as to the esthetic deformities of the trunk. This significant difference between what patients perceive and what clinicians are able to evaluate can lead to patient dissatisfaction following treatment.Compared to X-rays, the trunk surface acquired and reconstructed in 3D using optical digitizers better represents the deformations that patients observe and are primarily concerned with, such as the rib hump. In addition, the major advantage of these optical systems is their lack of ionizing radiation, thus allowing for a more frequent scoliosis assessment when compared to X-rays. However, there is currently no consensus on a set of indices that optimally quantifies trunk surface deformations. For this reason, trunk surface indices are still considered as secondary in the clinical evaluation, even though they are at the heart of the patients’ preoccupations.These problems lead to the main research question of this thesis: How can we complete, or even replace, the current clinical and radiographic evaluations of scoliosis with quantitative information obtained without ionizing radiation that takes more into account the patients’ concerns about their cosmetic trunk deformities?Among the first signs of scoliosis, the rib hump is a cosmetic deformity that cannot be assessed on radiographs, nor on a 3D reconstruction of the spine. It is mainly associated with rib cage deformity. It is therefore intuitive to suppose that the axial rotations of the ribs and of the back surface are highly correlated. Nevertheless, previous works have failed to demonstrate a strong relationship between these measurements. This might be explained by the limited accuracy of the technique used for the 3D reconstruction of the ribs. Consequently, in this work, a novel method" @default.
- W110230488 created "2016-06-24" @default.
- W110230488 creator A5071088447 @default.
- W110230488 date "2012-04-01" @default.
- W110230488 modified "2023-09-26" @default.
- W110230488 title "Analyse de la relation entre les déformations scoliotiques du tronc et celles des structures osseuses sous-jacentes" @default.
- W110230488 cites W119978033 @default.
- W110230488 cites W126024726 @default.
- W110230488 cites W1412632383 @default.
- W110230488 cites W1487274298 @default.
- W110230488 cites W1514650226 @default.
- W110230488 cites W1514684803 @default.
- W110230488 cites W152404302 @default.
- W110230488 cites W163215356 @default.
- W110230488 cites W1896419263 @default.
- W110230488 cites W1956242568 @default.
- W110230488 cites W1963946851 @default.
- W110230488 cites W1965406032 @default.
- W110230488 cites W1965671259 @default.
- W110230488 cites W1966111854 @default.
- W110230488 cites W1966951118 @default.
- W110230488 cites W1967541150 @default.
- W110230488 cites W1968194079 @default.
- W110230488 cites W1969269635 @default.
- W110230488 cites W1970636188 @default.
- W110230488 cites W1970950206 @default.
- W110230488 cites W1972024415 @default.
- W110230488 cites W1972603086 @default.
- W110230488 cites W1977392876 @default.
- W110230488 cites W1978149836 @default.
- W110230488 cites W1978237057 @default.
- W110230488 cites W1978705241 @default.
- W110230488 cites W1978780076 @default.
- W110230488 cites W1980481964 @default.
- W110230488 cites W1980721081 @default.
- W110230488 cites W1984123093 @default.
- W110230488 cites W1987809466 @default.
- W110230488 cites W1987903182 @default.
- W110230488 cites W1988230377 @default.
- W110230488 cites W1988351144 @default.
- W110230488 cites W1988896837 @default.
- W110230488 cites W1995397125 @default.
- W110230488 cites W1997677253 @default.
- W110230488 cites W1997932401 @default.
- W110230488 cites W1998189242 @default.
- W110230488 cites W1999137883 @default.
- W110230488 cites W1999191534 @default.
- W110230488 cites W1999789859 @default.
- W110230488 cites W2000558794 @default.
- W110230488 cites W2000947447 @default.
- W110230488 cites W2001678978 @default.
- W110230488 cites W2002506789 @default.
- W110230488 cites W2003444129 @default.
- W110230488 cites W2005089485 @default.
- W110230488 cites W2009688581 @default.
- W110230488 cites W2011195618 @default.
- W110230488 cites W2016191730 @default.
- W110230488 cites W2016466392 @default.
- W110230488 cites W2016761240 @default.
- W110230488 cites W2017941196 @default.
- W110230488 cites W2018019929 @default.
- W110230488 cites W2021186245 @default.
- W110230488 cites W2022938695 @default.
- W110230488 cites W2022948474 @default.
- W110230488 cites W2024802853 @default.
- W110230488 cites W2025842566 @default.
- W110230488 cites W2027890798 @default.
- W110230488 cites W2031434922 @default.
- W110230488 cites W2034506413 @default.
- W110230488 cites W2036069455 @default.
- W110230488 cites W2037000600 @default.
- W110230488 cites W2039099833 @default.
- W110230488 cites W2040100528 @default.
- W110230488 cites W2040793559 @default.
- W110230488 cites W2042357786 @default.
- W110230488 cites W2044847463 @default.
- W110230488 cites W2045631457 @default.
- W110230488 cites W2048235363 @default.
- W110230488 cites W2048826404 @default.
- W110230488 cites W2049966734 @default.
- W110230488 cites W2051796139 @default.
- W110230488 cites W2052500701 @default.
- W110230488 cites W2054314897 @default.
- W110230488 cites W2055107635 @default.
- W110230488 cites W2055217018 @default.
- W110230488 cites W2058132283 @default.
- W110230488 cites W2059163466 @default.
- W110230488 cites W2059604504 @default.
- W110230488 cites W2060247851 @default.
- W110230488 cites W2061075439 @default.
- W110230488 cites W2061103849 @default.
- W110230488 cites W2061755526 @default.
- W110230488 cites W2063032387 @default.
- W110230488 cites W2065473757 @default.
- W110230488 cites W2065894028 @default.
- W110230488 cites W2067352949 @default.
- W110230488 cites W2068179957 @default.
- W110230488 cites W2069726332 @default.
- W110230488 cites W2073370899 @default.
- W110230488 cites W2076434863 @default.