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A radiolucent chair for sitting-posture radiographs in non-ambulatory children: use in biplanar digital slot-scanning.

Abstract
EOS imaging (EOS System; EOS imaging, Paris, France) enables fast 2-D/3-D imaging of children in standing load-bearing position. Non-ambulatory children with neuromuscular scoliosis need evaluation of their spinal balance while in a normal daily position. We designed a customized chair fitting the EOS patient-area dimensions to obtain images in natural sitting postures. The chair is a 360° rotating orthopaedic chair made of fully radiolucent polyethylene and equipped with an adjustable headrest and three-point belts. Out of 41 consecutive patients, 36 (88%, 95% confidence interval 74-96%) had successful imaging. In most patients with severe neuromuscular trunk deformities, the EOS system combined with our chair was useful for assessing preoperative trunk collapse, pelvic obliquity and postoperative corrections in all planes. This specific device changed our daily practice for the assessment of spinal deformities in non-ambulatory patients.
AuthorsHoussam Bouloussa, Arnaud Dubory, Catherine Seiler, Baptiste Morel, Manon Bachy, Raphaël Vialle
JournalPediatric radiology (Pediatr Radiol) Vol. 45 Issue 12 Pg. 1864-9 (Nov 2015) ISSN: 1432-1998 [Electronic] Germany
PMID26111869 (Publication Type: Journal Article, Technical Report)
Topics
  • Adolescent
  • Child
  • Equipment Design
  • Humans
  • Imaging, Three-Dimensional (instrumentation)
  • Pelvis (diagnostic imaging)
  • Posture
  • Radiation Dosage
  • Radiography (instrumentation)
  • Scoliosis (diagnostic imaging)
  • Spine (diagnostic imaging)

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