Glard Yann, Launay Franck, Viehweger Elke, Guillaume Jean-Marc, Jouve Jean-Luc, Bollini Gérard
Service de Chirurgie Orthopédique Pédiatrique, Hôpital d'Enfants de la Timone, Marseille, France.
J Pediatr Orthop. 2005 Jul-Aug;25(4):476-8. doi: 10.1097/01.bpo.0000161099.46339.eb.
The objective of this study was to assess the correlation between hip flexion contracture (HFC) and the sagittal alignment of the lumbar spine in ambulatory children with myelomeningocele. Ambulatory patients with myelomeningocele are generally free of scoliosis or kyphosis. Among them, some develop increased lumbar lordosis. It is postulated that HFC and increased lumbar lordosis may be correlated. Thirty-eight patients, with a mean age of 12.7 years, were evaluated. Standing lateral spine films were obtained and the lumbar lordosis was measured using the Cobb method. HFC was measured using the Thomas test. A statistically significant correlation was found between the lumbar curve and HFC. High values of lumbar Cobb angle (hyperlordosis) were correlated with high values of HFC. These results show a correlation between HFC and increased lumbar lordosis in ambulatory myelomeningocele patients.
本研究的目的是评估患有脊髓脊膜膨出的能行走儿童的髋关节屈曲挛缩（HFC）与腰椎矢状面排列之间的相关性。患有脊髓脊膜膨出的能行走患者通常没有脊柱侧弯或脊柱后凸。其中，一些患者出现腰椎前凸增加。据推测，HFC与腰椎前凸增加可能相关。对38例平均年龄为12.7岁的患者进行了评估。获取站立位脊柱侧位片，并使用Cobb法测量腰椎前凸。使用托马斯试验测量HFC。发现腰椎曲度与HFC之间存在统计学上的显著相关性。腰椎Cobb角高值（腰椎前凸过大）与HFC高值相关。这些结果表明，在患有脊髓脊膜膨出的能行走患者中，HFC与腰椎前凸增加之间存在相关性。
