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青少年异常学脊椎病:里塞尔分期和靠近腰椎骨化系统之间是否存在关系?

Calcagni Julián¹, Davies Néstor Ricardo², Remondino Rodrigo²

¹Servicio de Patología Espinal, Hospital de Pediatría Prof. Dr. Juan P. Garrahan, Combate de los Pozos 1881, C1245AAM, CABA, Buenos Aires, Argentina. juliancalcagni@live.com.

Spine deformity

|February 5, 2024

概括

瑞塞分期可能低估了青少年异常学脊椎病 (AIS) 患者的骨成熟度. 靠近腰椎骨化系统 (PHOS) 可以在超过一半的Risser 0-1病例中显示成熟度,帮助治疗决策.

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.
骨的发育骨的发育

背景情况:

青少年异常学脊椎病 (AIS) 需要准确的骨成熟度评估来规划治疗.
目前的方法,如Risser分期可能并不总是反映真正的骨成熟度.

研究的目的:

在AIS患者中调查Risser分期和近端骨骨化系统 (PHOS) 之间的差异.
为了分析双边部桃体之间的骨成熟度的相关性.

主要方法:

从2018-2021年对105名AIS患者 (10-18岁) 的回顾性分析.
在前后脊椎放射图上对Risser分期和双边PHOS的评估.
使用McNemar测试进行统计分析,以确定重大不匹配.

主要成果:

在Risser和PHOS分期之间发现了显著的不匹配 (28.5%) (p < 0.001).
超过一半 (55.1%) 的Risser阶段0-1患者表现出PHOS阶段4-5 (骨成熟).
观察到左侧和右侧PHOS值之间存在很高的相关性 (95.7%),当两个部都被可视化时.

结论:

在AIS患者中,PHOS可以识别Risser分期低估的骨成熟度,特别是在Risser 0-1.
在AP脊椎放射图上使用PHOS可能会改善骨不成熟的AIS患者的治疗决策.
对于Risser 0-1患者,推对PHOS进行评估,可能不需要对两部桃体进行可视化.

关键词:

青少年的异常学变脊椎病变.峰值高度速度峰值高度速度靠近腰椎骨化系统的骨化系统这是一个Risser.

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