Heine J, Reher H
Z Orthop Ihre Grenzgeb. 1975 Feb;113(1):87-96.
110 patients with idiopathic scoliosis are reported on, who had no treatment for 2 years or more before growth stopped. Another 36 patients untreated for 1 year could be observed. The changes in the scoliotic angle were followed up radiologically and entered into a diagram. The average progression of these scolioses during one year were calculated. Progression was always most pronounced between the 10th and 15th year and coincided with the prepubertal increase in growth. This has to be expected 2 years later in boys than in girls. The degree of progression definitely depended on the site of the primary curve. Thoracic and S scoliosis showed most pronounced progression, followed by thoracolumbar and lumbar scoliosis. Progression was worse the earlier scoliosis was diagnosed.
报告了110例特发性脊柱侧凸患者,他们在生长停止前2年或更长时间未接受治疗。另外36例未接受治疗1年的患者也在观察中。通过放射学方法对脊柱侧凸角度的变化进行随访,并绘制成图表。计算了这些脊柱侧凸在一年内的平均进展情况。进展通常在第10年至第15年最为明显,且与青春期前生长加速期相符。男孩出现这种情况比女孩晚2年。进展程度肯定取决于原发性曲线的部位。胸段和胸腰段脊柱侧凸进展最为明显,其次是胸腰段和腰段脊柱侧凸。脊柱侧凸诊断越早,进展越严重。