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[成像研究青少年特异性脊椎病的胸部和腰部生理曲]

Hao-Yang Zhang¹, Ni-Sang Chen¹, Guo-Qing Shi¹

¹The Third Clinical Medical College of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310004, Zhejiang, China.

Zhongguo gu shang = China journal of orthopaedics and traumatology

|January 29, 2024

概括

青少年异常学脊椎病 (AIS) 减少胸部曲率,但不减少腰部曲率,较轻的病例显示出较大的胸部曲率. 这些脊柱变化可能与前脊柱过度生长有关.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
儿科脊柱形儿童脊柱形

背景情况:

青少年异常学脊椎病 (AIS) 是一种常见的脊椎形.
了解胸部和腰部生理曲率的变化对于AIS管理至关重要.

研究的目的:

为了研究AIS患者胸脊和腰脊曲的变化.
为了比较不同类型和人口统计数据之间的脊柱曲率差异.

主要方法:

对305名青少年患者 (2017-2021) 的全脊椎X射线的回顾性分析.
在正常和AIS组之间,胸部形 (TK) 和腰部形 (LL) 的比较,按性别,年龄和Risser标志分层.
对轻度与中度AIS以及不同脊柱段的TK和LL的分析.

主要成果:

与正常人群相比,AIS患者的女性比例和年龄更高.
胸部 (TK) 在AIS患者中显著减少 (P<0.001),而腰部 (LL) 则没有显著差异 (P=0.147).
轻度AIS患者比中度AIS患者表现出更大的TK,没有显著的LL差异.

结论:

AIS与胸部生理曲率的降低有关,独立于性别.
腰部曲率在AIS中基本保持不变,与正常青少年相似.
观察到的AIS变化可能与相对前脊椎过度生长有关,需要进一步调查.

关键词:

青少年的异常学变脊椎病变.腰部主症是指腰部主症.生理学的曲率曲率.胸部光症 (thoracic kyphosis) 是一种发生在胸部的症状.

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