[退行性脊柱侧凸和成人特发性脊柱侧凸的影像学诊断]
[Imaging diagnosis of degenerative scoliosis and adult idiopathic scoliosis].
作者信息
Wu Zhi-Hong, Song Hai-Feng, Wang Yi-Peng, Yan Jia-Zhi, Qiu Gui-Xing
机构信息
Department of Orthopaedics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2008 Jun 17;88(23):1630-3.
OBJECTIVE
To analyze and compare the Imaging findings of adult idiopathic scoliosis and degenerative scoliosis which were the most common adult scoliosis, and evaluate imaging characteristics.
METHOD
The radiological and clinical data of 98 case, among them, 41 cases of adult idiopathic scoliosis and 57 cases of degenerative scoliosis, were analyzed retrospectively.
RESULT
There were differences at presence age, sex ratio, anatomic area of scoliosis and apex between two types of adult scoliosis. The analyses and comparison between the two groups revealed significant change in the Cobb angle, involved segment and convex side orientation (all P < 0.05).
CONCLUSION
Adult idiopathic scoliosis and degenerative scoliosis show distinctive imaging characteristics. These characteristics combining clinical data are decisive in diagnosis.
目的
分析并比较成人特发性脊柱侧凸和退变性脊柱侧凸这两种最常见的成人脊柱侧凸的影像学表现，评估其影像学特征。
方法
回顾性分析98例患者的影像学及临床资料，其中成人特发性脊柱侧凸41例，退变性脊柱侧凸57例。
结果
两种类型的成人脊柱侧凸在发病年龄、性别比例、脊柱侧凸的解剖部位及顶点方面存在差异。两组间分析比较显示，Cobb角、受累节段及凸侧方向有显著变化（均P<0.05）。
结论
成人特发性脊柱侧凸和退变性脊柱侧凸表现出独特的影像学特征。这些特征结合临床资料对诊断具有决定性意义。
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