在青春期成长过程中对 Sagittal 脊柱对齐的演变:在中国儿科人口中进行的一项大型研究
Zongshan Hu1, Yanjie Xu1, Changsheng Fan1
1Division of Spine Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, People's Republic of China.
The Journal of bone and joint surgery. American volume
|January 28, 2025
概括
这项研究确定了中国儿童的规范性斜腰脊柱和骨盆对齐值,揭示了与生长相关的独特变化. 这些发现为儿科脊柱手术和理解发育变化提供了关键的种族特异性参考.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科脊柱手术 儿科脊柱手术
- 放射学分析 放射学分析
背景情况:
- 有限的数据存在于中国儿童的斜腰脊柱和骨盆对齐.
- 之前的研究集中在成年人或欧洲儿童身上.
- 了解与生长相关的变化对于临床实践至关重要.
研究的目的:
- 为中国儿童建立规范性斜腰脊骨皮层参数.
- 研究骨生长过程中这些参数的变化.
- 将结果与欧洲人口进行比较.
主要方法:
- 追溯分析了1916名健康中国儿童的全脊椎放射图.
- 测量盆腔参数,胸部形 (TK) 和腰部形 (LL).
- 根据骨成熟度分为5个群体的分层.
主要成果:
- 盆腔发病率 (PI) 和盆腔倾斜 (PT) 随着生长显著增加.
- 腰部主病 (LL) 和近端LL也显示增加.
- 在男性和女性之间观察到年龄和TK的显著差异.
结论:
- 为中国儿童提供基本的年龄,性别和种族特定的参考值.
- 与欧洲儿童相比,在骨生长过程中突出显示出独特的 sagittal 对齐变化.
- 帮助脊椎外科医生对儿科患者进行评估和手术规划.
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