{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T01:05:50Z","timestamp":1773795950797,"version":"3.50.1"},"reference-count":10,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T00:00:00Z","timestamp":1490140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nPurpose\nThe aim of our study was to evaluate thoracic vertebrae rotation in patients with pectus excavatum. Moreover, we wanted to assess the prevalence, the severity and relationship between pectus excavatum and adolescent idiopathic scoliosis (AIS).\nMethods\nWe performed retrospective analysis of 82 preoperative chest CT in children with pectus excavatum performed between January 2008 and December 2011. For each patient Haller Index and Cobb angle was measured. To evaluate the severity of thoracic scoliosis we measured vertebral rotation for Th8 and for vertebra at the level of highest chest deformation using Aaro-Dahlborn method.\nResults\nFrom the group of 54 patients with pectus excavatum enrolled in the study AIS was diagnosed in 8 patients (14,81%). In patients with symmetric deformation, Th8 rotation was found in 21 patients; the rotation of the apical vertebra was found in 20 patients. In patients with asymmetric deformation Th8 rotation was found in 10 patients; the rotation of the apical vertebra was found in 8 patients.\nConclusions\n1. We have confirmed the higher prevalence of pectus excavatum in boys; 2. We have found a significant relationship between pectus excavatum and adolescent idiopathic scoliosis; 3. We have shown that deformation of the anterior chest wall enforces rotation of the thoracic spine; 4. We haven't found the relationship between the severity of the chest deformity (HI measured) and severity of AIS (Cobb angle measured); 5. We have shown a significant association between HI measured and rotation of thoracic vertebra at the level of highest chest deformation (apical vertebra) in symmetric pectus excavatum.\nLevel of evidence: Level IV, Diagnostic study.\nER -\n\nKeywords\n\n\n\tAdolescent idiopathic scoliosis\n\tPectus excavatum\n\tHaller index\n\tVertebrae rotation<\/jats:p>","DOI":"10.1016\/j.aott.2017.03.005","type":"journal-article","created":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T13:45:30Z","timestamp":1497620730000},"page":"284-289","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of thoracic vertebrae rotation in patients with pectus excavatum"],"prefix":"10.5152","volume":"51","author":[{"given":"Ryszard","family":"TOMASZEWSK\u0130","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukasz","family":"W\u0130KTOR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludwina","family":"MACHALA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"issue":"8","key":"10.1016\/j.aott.2017.03.005_bib1","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1097\/BPO.0b013e31822da7d5","article-title":"Correlations of adolescent idiopathic scoliosis and pectus excavatum","volume":"31","author":"Hong","year":"2011","journal-title":"J\u00a0Pediatr Orthop"},{"key":"10.1016\/j.aott.2017.03.005_bib2","series-title":"Pediatric Thoracic Surgery","article-title":"Pectus excavatum","author":"Kelly","year":"2009"},{"issue":"1","key":"10.1016\/j.aott.2017.03.005_bib3","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/1749-8090-7-118","article-title":"Mechanical factors play an important role in pectus excavatum with thoracic scoliosis","volume":"7","author":"Wang","year":"2012","journal-title":"J\u00a0Cardiothorac Surg"},{"issue":"1","key":"10.1016\/j.aott.2017.03.005_bib4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1748-7161-3-16","article-title":"Vertebral rotation measurement: a summary and comparison of common radiographic and CT methods","volume":"3","author":"Lam","year":"2008","journal-title":"Scoliosis"},{"issue":"1","key":"10.1016\/j.aott.2017.03.005_bib5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.cmpb.2005.10.004","article-title":"Vertebral axial rotation measurement method","volume":"81","author":"Chi","year":"2006","journal-title":"Comput Methods Programs Biomed"},{"issue":"6","key":"10.1016\/j.aott.2017.03.005_bib6","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1177\/028418517801900614","article-title":"Estimation of vertebral rotation in structural scoliosis by computer tomography","volume":"19","author":"Aaro","year":"1978","journal-title":"Acta Radiol Diagn"},{"issue":"2","key":"10.1016\/j.aott.2017.03.005_bib7","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/01241398-200103000-00025","article-title":"Measurement of vertebral rotation in standing versus supine position in adolescent idiopathic scoliosis","volume":"21","author":"Yazici","year":"2001","journal-title":"J\u00a0Pediatr Orthop"},{"issue":"7","key":"10.1016\/j.aott.2017.03.005_bib8","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1097\/BRS.0b013e3181f468cc","article-title":"Analysis of preexistent vertebral rotation in normal infantile, juvenile and adolescent spine","volume":"36","author":"Janssen","year":"2011","journal-title":"Spine"},{"issue":"3","key":"10.1016\/j.aott.2017.03.005_bib9","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1590\/S1806-37132009000300005","article-title":"Prevalence of pectus carinatum and pectus excavatum in students in the city of Manaus","volume":"35","author":"Westphal","year":"2009","journal-title":"Braz J Bras Pneumol"},{"issue":"6","key":"10.1016\/j.aott.2017.03.005_bib10","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1177\/000313480306900615","article-title":"Acquired thoracic scoliosis following minimally invasive repair of pectus excavatum","volume":"69","author":"Niedbala","year":"2003","journal-title":"Am Surg"}],"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301761?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1017995X17301761?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3271\/3219","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:01:30Z","timestamp":1763463690000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":10,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2017,1,4]]}},"URL":"https:\/\/doi.org\/10.1016\/j.aott.2017.03.005","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This 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Publishing services by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}