• Laurent Gajny, Shahin Ebrahimi, Claudio Vergari, Elsa Angelini, and Wafa Skalli.
• Institut de Biomécanique Humaine Georges Charpak, Arts et Métiers ParisTech, 151 boulevard de l'Hôpital, 75013, Paris, France. Laurent.GAJNY@ensam.eu.
• Eur Spine J. 2019 Apr 1; 28 (4): 658-664.

PurposeTo design a quasi-automated three-dimensional reconstruction method of the spine from biplanar X-rays as the daily used method in clinical routine is based on manual adjustments of a trained operator and the reconstruction time is more than 10 min per patient.MethodsThe proposed method of 3D reconstruction of the spine (C3-L5) relies first on a new manual input strategy designed to fit clinicians' skills. Then, a parametric model of the spine is computed using statistical inferences, image analysis techniques and fast manual rigid registration.ResultsAn agreement study with the clinically used method on a cohort of 57 adolescent scoliotic subjects has shown that both methods have similar performance on vertebral body position and axial rotation (null bias in both cases and standard deviation of signed differences of 1 mm and 3.5° around, respectively). In average, the solution could be computed in less than 5 min of operator time, even for severe scoliosis.ConclusionThe proposed method allows fast and accurate 3D reconstruction of the spine for wide clinical applications and represents a significant step towards full automatization of 3D reconstruction of the spine. Moreover, it is to the best of our knowledge the first method including also the cervical spine. These slides can be retrieved under electronic supplementary material.

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