Robert D. Labrom
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View article: Beyond the Curve: The Muscle‐Specific Asymmetries of Adolescent Idiopathic Scoliosis
Beyond the Curve: The Muscle‐Specific Asymmetries of Adolescent Idiopathic Scoliosis Open
Background Adolescent idiopathic scoliosis (AIS) describes an asymmetrical formation of the spine that develops rapidly during adolescence. It is well known that the forces applied to bones, such as from paraspinal muscles, are substantial…
View article: Paediatric neuromuscular scoliosis and post-operative blood pressure targets: a retrospective analysis
Paediatric neuromuscular scoliosis and post-operative blood pressure targets: a retrospective analysis Open
Purpose This study investigates blood pressure variations and clinical outcomes in paediatric neuromuscular scoliosis patients after deformity correction surgery to mitigate the risk of ischaemic spinal cord injury (SCI). Hypotension is pr…
View article: Achieving maximal voluntary contraction of paraspinal muscles requires two tasks: Insight from an EMG study of females with and without adolescent idiopathic scoliosis
Achieving maximal voluntary contraction of paraspinal muscles requires two tasks: Insight from an EMG study of females with and without adolescent idiopathic scoliosis Open
An accurate estimation of maximal voluntary muscle activation is critical for normalisation in scientific studies. Only a handful of studies appropriately normalise muscle activation data when investigating paraspinal muscle activity in po…
View article: Segmental deformity markers offer novel indicators of deformity progression risk in deformity-matched adolescent idiopathic scoliosis patients
Segmental deformity markers offer novel indicators of deformity progression risk in deformity-matched adolescent idiopathic scoliosis patients Open
Purpose Identification of adolescent idiopathic scoliosis (AIS) patients with mild curvatures who pose significant risk of progressing to severe levels of curvatures is of paramount importance for clinical care. This study aimed to compare…
View article: Development and validation of a digital twin for the analog scoliometer
Development and validation of a digital twin for the analog scoliometer Open
Scoliosis is a complex 3D spine deformity characterised by an abnormal lateral curvature of the spine and associated rotation of the spine and ribcage. The rotational aspect of scoliosis is most commonly quantified in the Adam’s forward fl…
View article: Development and validation of a semi-automated measurement tool for calculating consistent and reliable surface metrics describing cosmesis in Adolescent Idiopathic Scoliosis
Development and validation of a semi-automated measurement tool for calculating consistent and reliable surface metrics describing cosmesis in Adolescent Idiopathic Scoliosis Open
Adolescent Idiopathic Scoliosis (AIS) is a 3D spine deformity that also causes ribcage and torso distortion. While clinical metrics are important for monitoring disorder progression, patients are often most concerned about their cosmesis. …
View article: Predicting spinal column profile from surface topography via 3D non-contact surface scanning
Predicting spinal column profile from surface topography via 3D non-contact surface scanning Open
Introduction 3D Non-Contact surface scanning (3DSS) is used in both biomechanical and clinical studies to capture accurate 3D images of the human torso, and to better understand the shape and posture of the spine–both healthy and pathologi…
View article: The Use of EOS Imaging to Assess Curve Magnitude Changes in Adolescent Idiopathic Scoliosis Undertaking Brace Management
The Use of EOS Imaging to Assess Curve Magnitude Changes in Adolescent Idiopathic Scoliosis Undertaking Brace Management Open
This study aimed to investigate the use of EOS (bi-planer) imaging and SterEOS reconstruction software to study the efficacy of spinal bracing in adolescent idiopathic scoliosis (AIS). EOS images of scoliosis patients being treated with br…
View article: Effect of Spinal Bracing on Curve Magnitude in Coronal and Axial Planes in Adolescent Scoliosis Utilising EOS Imaging.
Effect of Spinal Bracing on Curve Magnitude in Coronal and Axial Planes in Adolescent Scoliosis Utilising EOS Imaging. Open
Purpose. This study aimed to investigate the efficacy of spinal bracing in treating progressive scoliosis deformity utilizing EOS (bi-planer) imaging and SterEOS reconstruction software. Methods. EOS images of scoliosis patients being trea…
View article: Deep Learning-Based Automatic Segmentation for Reconstructing Vertebral Anatomy of Healthy Adolescents and Patients With Adolescent Idiopathic Scoliosis (AIS) Using MRI Data
Deep Learning-Based Automatic Segmentation for Reconstructing Vertebral Anatomy of Healthy Adolescents and Patients With Adolescent Idiopathic Scoliosis (AIS) Using MRI Data Open
MRI is a non-ionising imaging modality that could be used as an alternative to Xray-based imaging methods to accurately assess the 3D morphology of the vertebral anatomy of scoliosis patients. However, a major caveat in utilising MRI is th…
View article: Predicting spinal profile using 3D non-contact surface scanning: Changes in surface topography as a predictor of internal spinal alignment
Predicting spinal profile using 3D non-contact surface scanning: Changes in surface topography as a predictor of internal spinal alignment Open
Comparison of the observed trends for vertebral position measured from MRI and 3DSS, suggested the surface markers may provide a useful method for measuring internal changes in sagittal curvature or skeletal changes.
View article: A finite element investigation of vertebral body tethering surgery in a patient specific FEM: A preliminary study
A finite element investigation of vertebral body tethering surgery in a patient specific FEM: A preliminary study Open
INTRODUCTIONVertebral Body Tethering (VBT) surgery for idiopathic scoliosis (IS) patients involves anteriorly placed vertebral screws securing a deformable Polyethylene-Terephthalate (PET) tether. Before securing the tether, corrective for…
View article: Characterisation of torso segmental rotation changes after surgical correction of adolescent idiopathic scoliosis
Characterisation of torso segmental rotation changes after surgical correction of adolescent idiopathic scoliosis Open
INTRODUCTIONA plethora of measurements are available to characterise scoliosis, but a mismatch remains between cosmesis, radiological parameters and patient functional outcomes. Better assessment of cosmesis, through quantitative technique…
View article: The super-element, stiffness-matrix approach to interrogate 3D intervertebral disc mechanics
The super-element, stiffness-matrix approach to interrogate 3D intervertebral disc mechanics Open
Finite element ( FE ) models of intervertebral discs ( IVD ) are inherently complex, requiring multiple tissue parameters to be defined for tissues which can be difficult to characterise experiment ally. Due to this complexity, understandi…
View article: Use of EOS imaging modality in paediatric scoliosis patients
Use of EOS imaging modality in paediatric scoliosis patients Open
EOS (Trade Marked) is a slot scanning radiological device allowing the acquisition of two biplanar x-ray images simultaneously with significantly reduced radiation exposure. Using SterEOS (Trade Marked) software enables 3-dimensional (3D) …
View article: Bone metabolism biomarkers in adolescent idiopathic scoliosis
Bone metabolism biomarkers in adolescent idiopathic scoliosis Open
Despite representing 85% of all scoliosis cases, the aetiological mechanism of Adolescent Idiopathic Scoliosis (AIS) remains elusive. Several historical studies have shown correlations between lower bone mineral density (BMD) and altered b…
View article: Using 3D surface photography to predict sagittal plane spinal profile
Using 3D surface photography to predict sagittal plane spinal profile Open
3D non-contact surface scanners capture highly accurate, calibrated images of surface topography for 3D structures. This study sought to establish the efficacy and accuracy of using 3D surface scanning (3DSS) to characterise thoracolumbar …
View article: Progression of axial plane vertebral deformity in adolescent idiopathic scoliosis using sequential MRI
Progression of axial plane vertebral deformity in adolescent idiopathic scoliosis using sequential MRI Open
Few studies have analysed 3D anatomical changes in vertebrae of Adolescent Idiopathic Scoliosis (AIS) patients during growth. To understand how the axial plane deformity changes with scoliosis progression, this study used a sequential seri…
View article: An MRI-based technique to assess progressive changes in 3D vertebral morphometry in adolescent idiopathic scoliosis
An MRI-based technique to assess progressive changes in 3D vertebral morphometry in adolescent idiopathic scoliosis Open
While prior studies have assessed vertebral deformity in adolescent idiopathic scoliosis (AIS) morphometrically using 2D imaging or 3D reconstructions, few have assessed the progressive change in 3D deformity longitudinally with increasing…
View article: Quantifying changes in 3D surface rotations after surgical correction of adolescent idiopathic scoliosis
Quantifying changes in 3D surface rotations after surgical correction of adolescent idiopathic scoliosis Open
A plethora of measurements are available to characterise scoliosis, but a mismatch remains between cosmesis, radiological parameters and patient functional outcomes. Better assessment of cosmesis, through quantitative techniques, may help …
View article: Quantifying changes in 3D surface topography after surgical correction of adolescent idiopathic scoliosis
Quantifying changes in 3D surface topography after surgical correction of adolescent idiopathic scoliosis Open
A plethora of measurements are available to characterise scoliosis, but a mismatch remains between cosmesis, radiological parameters and patient functional outcomes. We propose using 3D photography to quantify external scoliotic deformity.…
View article: ASSESSMENT OF TRABECULAR BONE ADAPTATION IN ADOLESCENT IDIOPATHIC SCOLIOSIS DUE TO ALTERED JOINT LOADING
ASSESSMENT OF TRABECULAR BONE ADAPTATION IN ADOLESCENT IDIOPATHIC SCOLIOSIS DUE TO ALTERED JOINT LOADING Open
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View article: Predicting sagittal plane profile using 3D surface photography of the spine
Predicting sagittal plane profile using 3D surface photography of the spine Open
3D non-contact surface scanners capture highly accurate, calibrated images of surface topography for 3D structures. These scanners are comparatively inexpensive to operate and involve no radiation exposure for the patient. An important ste…
View article: Progression of sagittal plane deformity and axial vertebral rotation in adolescent idiopathic scoliosis using MRI
Progression of sagittal plane deformity and axial vertebral rotation in adolescent idiopathic scoliosis using MRI Open
Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity affecting 2.5% of the population [1]. Few studies have analysed multi-dimensional anatomical changes in the vertebra in a large cohort and prospectively over a p…
View article: Progression of anterior vertebral wedge angles in adolescent idiopathic scoliosis using sequential MRI scans
Progression of anterior vertebral wedge angles in adolescent idiopathic scoliosis using sequential MRI scans Open
Previous adolescent idiopathic scoliosis (AIS) studies suggest anterior overgrowth of vertebral bodies (VB) contribute to scoliotic curve progression and reduced kyphosis. To understand how sagittal parameters change with scoliotic curve p…
View article: Quantifying anterior chest wall deformity in adolescent idiopathic scoliosis: Does it correlate with other deformity measures?
Quantifying anterior chest wall deformity in adolescent idiopathic scoliosis: Does it correlate with other deformity measures? Open
The primary aims of scoliosis surgery are to halt the progression of the deformity, and to reduce its severity. Currently, deformity correction is clinically measured in terms of Cobb angle and rib hump (RH), even though a real cosmetic co…
View article: THORACOSCOPIC SCOLIOSIS SURGERY – A CHEAPER OPTION? A COST ANALYSIS OF 189 CONSECUTIVE CASES
THORACOSCOPIC SCOLIOSIS SURGERY – A CHEAPER OPTION? A COST ANALYSIS OF 189 CONSECUTIVE CASES Open
INTRODUCTION: Increasing health care costs, limited resources and increased demand makes cost effective and cost-efficient delivery of Adolescent Idiopathic Scoliosis (AIS) management paramount. Rising implant costs in deformity correction…
View article: Thoracic spine growth in adolescent idiopathic scoliosis patients compared to healthy adolescents: A sequential magnetic resonance imaging study
Thoracic spine growth in adolescent idiopathic scoliosis patients compared to healthy adolescents: A sequential magnetic resonance imaging study Open
Relative overgrowth of the anterior spinal column has been postulated as a key driver of spinal deformity in scoliosis, with recent work suggesting most of the excessive growth occurs in the intervertebral discs (IVD). The aim of this stud…
View article: Is spine flexibility maintained with the use of Semi-Constrained Growing Rods for early onset scoliosis in children?
Is spine flexibility maintained with the use of Semi-Constrained Growing Rods for early onset scoliosis in children? Open
The Growing Rod (GR) surgical technique comprises fusionless instrumentation to reduce and control deformity whilst allowing the young spine to grow in early onset scoliosis. Original constrained GR designs result in spine auto-fusion whic…