The effective capture of outcome measures in
the healthcare setting can be traced back to Florence Nightingale’s
investigation of the in-patient mortality of soldiers wounded in
the Crimean war in the 1850s. Only relatively recently has the formalised collection of outcomes
data into Registries been recognised as valuable in itself. With the advent of surgeon league tables and a move towards value
based health care, individuals are being driven to collect, store
and interpret data. Following the success of the National Joint Registry, the British
Association of Spine Surgeons instituted the British Spine Registry.
Since its launch in 2012, over 650 users representing the whole
surgical team have registered and during this time, more than 27 000
patients have been entered onto the database. There has been significant publicity regarding the collection
of outcome measures after surgery, including patient-reported scores.
Over 12 000 forms have been directly entered by patients themselves,
with many more entered by the surgical teams. Questions abound: who should have access to the data produced
by the Registry and how should they use it? How should the results
be reported and in what forum? Cite this article:
There is no consensus among scoliosis surgeons on which surface topography method and parameters may be used as an alternative to serial radiography to monitor scoliosis progression. The aim of this study was to evaluate the inter-correlation among surface rotation (4-D formetric II) with 3-D Quantec scan and 2-D cobb's angle measurements for assessing torso asymmetry in adolescent idiopathic scoliosis (AIS). A prospective cohort of consecutive 24 patients with adolescent idiopathic scoliosis was accrued from the departmental scoliosis surface topography database. This group comprised of conservatively treated, Spinecor brace treated and postoperative patients in order to assess the wider utility and validity of 2 different surface topography methods (Formetric II & Quantec Spinal Imaging System). Parameters assessed were Q-angle, Suzuki hump sum, Posterior Trunk Symmetry Index (POTSI), surface rotation (rms), surface rotation (max) and maximum Cobb's angle on concurrently done scoliograms.Introduction
Materials & Methods