学校脊柱侧弯筛查：表面地形测量法能否取代脊柱侧凸测量仪检查？
School screening for scoliosis: can surface topography replace examination with scoliometer?
作者信息
Chowanska Joanna, Kotwicki Tomasz, Rosadzinski Krzysztof, Sliwinski Zbigniew
机构信息
Spine Disorders Unit, Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences, Górecka 30, 60-201 Poznan, Poland.
出版信息
Scoliosis. 2012 Apr 3;7(1):9. doi: 10.1186/1748-7161-7-9.
BACKGROUND
Clinical examination with the use of scoliometer is a basic method for scoliosis detection in school screening programs. Surface topography (ST) enables three-dimensional back assessment, however it has not been adopted for the purpose of scoliosis screening yet. The purpose of this study was to assess the usefulness of ST for scoliosis screening.
METHODS
996 girls aged 9 to 13 years were examined, with both scoliometer and surface topography. The Surface Trunk Rotation (STR) was introduced and defined as a parameter allowing comparison with scoliometer Angle of Trunk Rotation taken as reference.
RESULTS
Intra-observer error for STR parameter was 1.9°, inter-observer error was 0.8°. Sensitivity and specificity of ST were not satisfactory, the screening cut-off value of the surface topography parameter could not be established.
CONCLUSIONS
The study did not reveal advantage of ST as a scoliosis screening method in comparison to clinical examination with the use of the scoliometer.
背景
在学校筛查项目中，使用脊柱侧凸测量仪进行临床检查是检测脊柱侧弯的基本方法。表面地形学（ST）能够对背部进行三维评估，然而它尚未被用于脊柱侧弯筛查目的。本研究的目的是评估ST用于脊柱侧弯筛查的有效性。
方法
对996名9至13岁的女孩进行了检查，同时使用了脊柱侧凸测量仪和表面地形学。引入并定义了表面躯干旋转（STR）作为一个参数，以便与作为参考的脊柱侧凸测量仪测量的躯干旋转角度进行比较。
结果
STR参数的观察者内误差为1.9°，观察者间误差为0.8°。ST的敏感性和特异性不令人满意，无法确定表面地形学参数的筛查临界值。
结论
与使用脊柱侧凸测量仪的临床检查相比，该研究未显示出ST作为脊柱侧弯筛查方法的优势。
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