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Objective Mobility in Idiopathic Adolescent Scoliosis: A How-To on Objectifying Function to Facilitate Management Decisions

Gregory Burkard, Justin C. Paul* and John-Ross Rizzo

Adolescent idiopathic scoliosis (AIS) is a common disease managed by pediatric orthopedic physicians. Current management is limited in objective measures, the mainstay being static radiographic evaluation of the Cobb angle. In this short commentary, we propose the use of video analysis software (VAS), specifically Dartfish Prosuite, to improve objectivity through quantified kinematic data (i.e. gross and segmental spinal motion and compensatory motion patterns), permitting clinicians to monitor gradual progress pre- and post-intervention. Further studies and larger databases will lead to better evidence-based guidelines to inform physicians’ decision making process for AIS, including operative spinal fusion.