Spinal analysis system

• US 5,582,186 A
• Filed: 05/04/1994
• Issued: 12/10/1996
• Est. Priority Date: 05/04/1994
• Status: Expired due to Fees

• Current Assignee: Raymond A. Wiegand
• Original Assignee: Raymond A. Wiegand
• Inventors: Wiegand, Raymond A.
• Primary Examiner(s): Rimell, Sam
• Application Number:
  US08/237,629
• Time in Patent Office: 951 Days
• Field of Search: 128/782, 128/774, 33/511, 33/512, 33/514.2
• US Class Current: 600/595
• CPC Class Codes: G16H 15/00 ICT specially adapted for medical reports, e.g. generation or transmission thereof
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 30/40 for processing medical images, e.g. editing
• CPC Class Codes: G16H 50/50 for simulation or modelling of medical disorders

Abstract

A method for analyzing spinal characteristics of a patient believed to have one or more spinal abnormalities in which vertebral body rotations of the patient are determined for a plurality of spinal vertebrae and are graphically displayed along with vertebral body rotations of a normal person having no spinal abnormalities so that such displays can be readily compared to determine the locations of a patient'"'"'s spinal abnormalities. Similar graphical displays of the differences in the relative rotational relationship of each vertebra and its superior neighboring vertebra can be provided for a patient and compared with graphical displays thereof for a normal person to identify locations of abrupt positional alignment changes representing spinal abnormalities Of the patient. Spinal stress unit values based on such vertebral rotations and rotational differences information, as well as on other selected parameters, can be determined for a patient with respect to successive treatments in order to provide a measurement of the progress of such treatments over time.

Claims

1. A computerized method for analyzing spinal characteristics of a patient believed to have one or more spinal abnormalities comprising the steps of:

creating a first data set by determining vertebral body rotations for a plurality of spinal vertebrae of the patient from anterior/posterior spinal x-rays of said patient, digitizing said first data set and inputting said digitized first data set into a data processing computer;

creating a second data set by determining vertebral body rotations for a plurality of spinal vertebrae of a normal person having no spinal abnormalities from anterior/posterior spinal x-rays of said patient, digitizing said second data set and inputting said digitized second data set into a data processing computer;

displaying the digitized vertebral body rotations of the patient in a graphical manner;

displaying the digitized vertebral body rotations of the normal person in a graphical manner;

comparing the digitized vertebral body rotations of the patient with the digitized vertebral body rotations of the normal person by processing the two sets of digitized data, determining the locations of spinal abnormalities of the patient; and

providing readable output from said data processing computer regarding said locations of said spinal abnormalities.

2. A method in accordance with claim 1 wherein the vertebral body rotations of the patient and of the normal person are determined from x-rays taken in an anterior/posterior orientation.

3. A method in accordance with claim 2 wherein the differences between the vertebral body rotations of the patient and of the normal person are determined to be to the patient'"'"'s left from the normal and/or to the patient'"'"'s right from the normal.

4. A method in accordance with claim 1 wherein said displaying steps include displaying the vertebral body rotations of the patient and of the normal person in the form of horizontal bar graphs.

5. A method in accordance with claim 4 wherein the displaying steps further include displaying the vertebral body rotations of the patient and of the normal person in the form of tabular measurements.

6. A method in accordance with claim 4 wherein the horizontal bar graphs for the display of vertebral body rotations of the patient are displayed via the data processing computer adjacent to corresponding horizontal bar graphs for the display of vertebral body rotations for the normal person.

7. A method in accordance with claim 2 wherein the vertebral body rotations of the patient and of the normal person are determined as a distance D approximately corresponding to an arc length traversed by the interlamina junction of a vertebral body which is rotated from its theoretical center.

8. A method in accordance with claim 7 wherein the theoretical center of a vertebra is determined from said x-rays as the intersection location of diagonal lines drawn from opposing corners of the vertebra.

9. A method in accordance with claim 1 wherein said vertebral body rotations of the patient and the normal person are determined for spinal vertebrae in each of the cervical, thoracic and lumbar regions of the spine.

10. A method in accordance with claim 1 wherein said comparing step includes quantifying a rotational discontinuity of a vertebra with respect to its superior or inferior neighboring vertebra.

11. A method in accordance with claim 1 and further including

determining the vertebral intersegmental rotational relationship between a vertebra and an adjacent vertebra for each vertebra of a plurality of spinal vertebrae of the patient.

12. A method in accordance with claim 11 and further including

determining the difference between the relative rotational relationship of a vertebra and the relative rotational relationships of its superior neighboring vertebra;

and

displaying the differences for each vertebra of said plurality of vertebrae in a graphical manner;

determining the difference between the relative rotational relationship of a vertebra of said plurality of vertebrae and the relative rotational relationship of its superior neighboring vertebra for a normal person having no spinal abnormalities;

displaying the differences in a graphical manner;

comparing the differences determined for the patient with differences determined for the normal person to identify the locations of abrupt positional alignment changes representing spinal abnormalities in the patient.

13. A method in accordance with claim 12 and further including

determining absolute values of the differences determined for each of the vertebra of the plurality of vertebrae of the patient;

adding the absolute values to provide numerical spinal stress unit scale numbers for each of the cervical, thoracic, and lumbar regions of the spine; and

displaying said scale numbers for each of said regions.

14. A method in accordance with claim 13 and further including adding the scale numbers for each of said regions to provide a global spinal stress unit scale number;

and

displaying said global stress unit scale number.

15. A method in accordance with claim 14 and further including determining and digitizing regional stress unit scale numbers and global spinal stress unit scale numbers at a plurality of different successive times during treatment of the patient so as to track the progress of said treatment.

16. A method in accordance with claim 1 and further including

creating a third data set by determining a disc angle for each vertebra of a plurality of vertebrae of the patient in the lateral dimension and digitizing said third data set;

displaying the determined disc angles of the patient via output from the data processing computer;

creating a fourth data set by determining a disc angle for each vertebra of said plurality of vertebrae of a normal person having no spinal abnormalities and digitizing said fourth data set;

displaying the determined disc angles of the normal person via output from the data processing computer; and

by digital data processing of the third and fourth data sets comparing the determined disc angles of the patient and the determined disc angles of the normal person to determine any dissymmetries between corresponding vertebrae thereof.

17. A method in accordance with claim 16 wherein said disc angle determining steps include determining the disc angles of the patient and of the normal person when the spine is in a neutral and non-flexed, non-extended position.

18. A method in accordance with claim 17 and further including determining the disc angles of the patient and of the normal person when the spine is in a flexed position.

19. A method in accordance with claim 18 and further including determining the disc angles of the patient and of the normal person when the spine is in an extended position.

20. A method in accordance with claim 19 and further including by digital data processing of the two data sets comparing the disc angles of the patient and of the normal person in both the flexed position and the extended position.

21. A method in accordance with claim 20 and further including

determining and digitizing as a data set the angular displacement changes in the disc angles from the neutral position to the flexed position for the patient and for the normal person;

determining and digitizing as a data set the angular displacement changes in the disc angles from the neutral position to the extended position for the patient and for the normal person; and

comparing by digital data processing of the two data sets the angular displacement changes for the patient with the corresponding changes for the normal person to determine flexion and extension vertebral position deficiencies for the patient.

22. A method in accordance with claim 21 wherein the angular displacement values for the vertebrae are determined in each of the cervical, thoracic, and lumbar regions;

and further including

adding the angular displacement values for the vertebrae in each of said regions to obtain total angular displacement values for each of said regions.

23. A method in accordance with claim 22 and further including adding the total angular displacement values obtained for each of the cervical, thoracic, and lumbar regions to obtain a global angular displacement value.

24. A method in accordance with claim 1 and further including

determining and digitizing as a data set from lateral x-ray images of the vertebrae of the cervical region of the patient a plurality of selected parameter values related to selected osseous landmarks at each vertebra;

making said parameter determinations for a patient prior to a treatment session and after a predetermined number of treatment sessions and by digital data processing of the two data sets determining the differences in said parameter values before and after said treatment sessions;

adding the absolute values of said differences for each of the selected parameters to provide an objective spinal stress unit value for said cervical region.

25. A method in accordance with claim 24 and further including

determining said selected parameter values at successive treatment sessions for the patient and by digital data processing of the two data sets comparing the objective spinal stress unit values determined at subsequent treatment sessions with the values thereof determined at prior treatment sessions to track progress of the treatment of the patient over a course of said successive treatment sessions.

26. A method in accordance with claim 25 and further including determining and digitizing as a data set the objective spinal stress unit values for each of the thoracic and lumbar regions of the patient.

27. A method in accordance with claim 26 and further including adding the selected parameter values for each of the cervical, thoracic, and lumbar regions of the patient before and after treatment to determine a global objective spinal stress unit value.

28. A method in accordance with claim 27 and further including

determining global objective spinal stress unit values for the patient at each of a plurality of successive treatment sessions to track progress of the patient over the course of said successive treatment sessions.