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桑德斯分类和肥胖:有AIS的肥胖儿童是否具有更先进的骨成熟度?
Jeffrey Henstenburg1, Jeremy Heard1, Lance Jaynes2
1Rothman Institute at Thomas Jefferson University, Philadelphia, PA.
Journal of pediatric orthopedics
|July 31, 2023
概括
患有青少年异常学脊椎病 (AIS) 的肥胖和超重的青少年在桑德斯成熟度表 (SMS) 上表现出更大的骨成熟度. 这表明肥胖对AIS进展和治疗计划的潜在影响.
科学领域:
- 儿科整形医生 儿科整形医生
- 脊柱外科手术 脊柱外科手术
- 骨成熟度评估 骨成熟度评估
背景情况:
- 肥胖和超重 (OOW) 患有青少年异常学脊椎病 (AIS) 的患者可能呈现出更先进的骨成熟度标志物.
- 桑德斯成熟度尺度 (SMS) 越来越多地用于预测AIS中的骨成熟度,以帮助治疗决策.
- 患者体重状况和AIS中的SMS之间的关系以前没有被描述过.
研究的目的:
- 用AIS患者的SMS研究体重状况 (正常体重与肥胖/超重) 和骨成熟度之间的关联.
- 为了确定AIS的OOW患者在初始呈现时是否表现出较高的SMS得分,而不是正常体重 (NW) 患者.
主要方法:
- 在2012年7月至2020年3月期间,一项横截面研究确定了来自两个机构的590名AIS患者 (296名女性,294名男性).
- 根据疾病预防控制中心的指导方针,患者被分为NW (<85百分比BMI-for-age) 或OOW (≥85百分比BMI-for-age).
- 骨成熟度是使用桑德斯成熟度尺度 (SMS) 来从左手放射图进行评估的.
主要成果:
- 与NW患者相比,OOW患者在呈现时表现出显著更高的SMS得分,无论是女性 (5.9±1.8对5.2±1.7;P=0.003) 还是男性 (4.9±1.9对4.1±1.8;P=0.002).
- OOW雌性表现出明显更大的主要曲线大小 (36±16度) 比NW雌性 (30±16度;P=0.004).
- 在OOW和NW男性之间没有发现主要曲线大小的显著差异 (P=0.3).
结论:
- 患有AIS的肥胖和超重患者具有更高的骨成熟度,由更高的SMS得分表明.
- 患有AIS的OOW女性患者也呈现出更大的主要曲线大小,这表明对治疗的潜在影响.
- 这些发现强调了儿童肥胖流行病对AIS的影响,并可以为临床咨询和治疗计划提供信息.
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