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Morphometric analysis of iatrogenic breast asymmetry secondary to operative breast shape changes in thoracic adolescent idiopathic scoliosis

Overview of attention for article published in European Spine Journal, May 2016
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11 Mendeley
Title
Morphometric analysis of iatrogenic breast asymmetry secondary to operative breast shape changes in thoracic adolescent idiopathic scoliosis
Published in
European Spine Journal, May 2016
DOI 10.1007/s00586-016-4554-9
Pubmed ID
Authors

Sai-hu Mao, Benlong Shi, Xu Sun, Zhen Liu, Ze-zhang Zhu, Bang-ping Qian, Yong Qiu

Abstract

Spontaneous surgical alterations of the distorted surface shape of thoracic cage in adolescent idiopathic scoliosis (AIS) may relocate and remodel the bilateral breast mounds. The purpose of this study was to analyze the influence of scoliosis correction surgery on female breast morphology and to identify the risk factors for iatrogenic breast asymmetry secondary to operative breast shape changes in AIS. Thoracic AIS girls undergoing correction surgery were reviewed. Ten parameters concerning morphometric and CT evaluations of breast profile and symmetry were measured. The degree of asymmetry was determined and comparisons were made for evaluation of operative breast shape changes. The morphologically aggravated breast asymmetry would be considered if the concave and convex difference of either sternal notch-nipple length or sternal notch-nipple tilt angle increased post-operatively. Potential risk factors for iatrogenic breast asymmetry were identified. Sixty-eight AIS girls were reviewed. The concave breasts showed significantly more linear and less angular changes in morphological parameters post-operatively (p < 0.05). The concave and convex difference was significantly increased in morphological parameters and yet decreased in radiographic parameters. Ratio of aggravated morphological breast asymmetry was 61.2 %, and this patient group trended to have a minor pre-operative breast asymmetry though the difference was not statistically significant (p > 0.05). Moreover, patients with apex located at or above T7 showed greater changes in both morphological and radiographic dimensions as compared with those with apex beneath T7 (p < 0.05). The incidence of aggravated post-operative breast asymmetry is notable. Those with higher thoracic apex level, combined with minor pre-operative breast asymmetry, were at relatively higher risk of iatrogenic breast asymmetry aggravation post-operatively. Moreover, discrepancy existed between the morphometric and radiographic parameters concerning the surgical influence on breast asymmetry.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 11 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 11 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 18%
Student > Master 2 18%
Student > Postgraduate 1 9%
Professor 1 9%
Lecturer > Senior Lecturer 1 9%
Other 4 36%
Readers by discipline Count As %
Medicine and Dentistry 5 45%
Unspecified 3 27%
Engineering 2 18%
Neuroscience 1 9%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 May 2016.
All research outputs
#9,376,861
of 12,221,475 outputs
Outputs from European Spine Journal
#1,490
of 3,031 outputs
Outputs of similar age
#177,492
of 274,757 outputs
Outputs of similar age from European Spine Journal
#113
of 214 outputs
Altmetric has tracked 12,221,475 research outputs across all sources so far. This one is in the 20th percentile – i.e., 20% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,031 research outputs from this source. They receive a mean Attention Score of 3.4. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 274,757 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 29th percentile – i.e., 29% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 214 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.