Mirovsky Yigal, Blankstein Alexander, Shlamkovitch Nathan
Spine Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
J Pediatr Orthop B. 2006 May;15(3):168-71. doi: 10.1097/01.bpb.0000194436.73592.d0.
Thirty-one patients with severe adolescent idiopathic scoliosis were evaluated preoperatively by computerized dynamic posturography. Curve type, magnitude and spine balance were measured radiographically. In four girls, a very mild vestibular dysfunction was observed on the sensory organization analysis, and three of them had a horizontal shift of more than 2 cm; a disbalance was observed in only three other patients among the 27 patients with normal posturography. These results suggest that abnormalities in the sensory systems are not involved in the etiology of severe adolescent idiopathic scoliosis. The vestibular dysfunction detected in the four patients was most probably the result of disbalance and not the cause of the disease.
31例重度青少年特发性脊柱侧凸患者术前接受了计算机动态姿势描记法评估。通过影像学测量了侧弯类型、严重程度和脊柱平衡情况。在感觉组织分析中，4名女孩存在非常轻微的前庭功能障碍，其中3人水平位移超过2厘米；在27例姿势描记法正常的患者中，只有另外3例出现失衡。这些结果表明，感觉系统异常与重度青少年特发性脊柱侧凸的病因无关。在这4例患者中检测到的前庭功能障碍很可能是失衡的结果而非疾病的原因。
