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青少年特发性脊柱侧凸女孩身体生长参数分析:单胸段特发性脊柱侧凸与单腰段特发性脊柱侧凸的比较

Analysis of body growth parameters in girls with adolescent idiopathic scoliosis: single thoracic idiopathic scoliosis versus single lumbar idiopathic scoliosis.

作者信息

Liu Zhen, Zhu Zezhang, Guo Jing, Mao Saihu, Wang Weijun, Qian Bangping, Zhu Feng, Chu Winnie, Cheng Jack C Y, Qiu Yong

机构信息

The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.

出版信息

Stud Health Technol Inform. 2012;176:195-201.

Abstract

Abnormal pattern of growth has been reported in adolescent idiopathic scoliosis (AIS) patients. However, the sequential changes of growth in different curve types of AIS have not been properly studied. The present study aimed to investigate the body growth characteristics of girls with single thoracic idiopathic scoliosis and lumbar idiopathic scoliosis in China. 339 AIS girls and 3914 healthy girls, aged 1017yr, were included. All AIS girls had a mean Cobb angle of 32±10° (range 1563°). According to the locations of curves end vertebrae, AIS girls were divided into 2 subgroups: a single thoracic curve and a single lumbar curve. Body weight and standing height was measured, and body mass index (BMI) and leg length was calculated of each subject in three groups, and corrected height was computed in AIS group according to Bjure's formula. One-way ANOVA was used to determine the differences in weight, height, corrected height and BMI between AIS and healthy girls. Standing height and sitting height showed no significant difference between thoracic scoliosis and lumbar scoliosis girls. Compared to healthy girls at the same age, thoracic and lumbar AIS girls had a significantly higher corrected standing and sitting height, arm span and leg length. Thoracic AIS girls had a significantly lower body weight than healthy girls at the age of 15 yr. Yet, body weight showed no significant difference between lumbar AIS and healthy girls. The standing and sitting height between thoracic and lumbar AIS girls were similar during the pubertal period. Compared to healthy girls at the same age, thoracic and lumbar AIS girls had a significantly higher corrected standing, sitting height and leg length. In addition, thoracic AIS girls are leaner than healthy girls.

摘要

据报道,青少年特发性脊柱侧凸(AIS)患者存在异常生长模式。然而,AIS不同曲线类型生长的连续变化尚未得到充分研究。本研究旨在调查中国单胸段特发性脊柱侧凸和单腰段特发性脊柱侧凸女孩的身体生长特征。纳入了339名年龄在10至17岁的AIS女孩和3914名健康女孩。所有AIS女孩的平均Cobb角为32±10°(范围15至63°)。根据曲线终椎的位置,将AIS女孩分为2个亚组:单胸段曲线和单腰段曲线。测量了三组中每个受试者的体重和站立身高,计算了体重指数(BMI)和腿长,并根据比约勒公式计算了AIS组的矫正身高。采用单因素方差分析来确定AIS女孩与健康女孩在体重、身高、矫正身高和BMI方面的差异。胸段脊柱侧凸女孩和腰段脊柱侧凸女孩的站立身高和坐高无显著差异。与同年龄的健康女孩相比,胸段和腰段AIS女孩的矫正站立和坐高、臂展和腿长显著更高。15岁时,胸段AIS女孩的体重显著低于健康女孩。然而,腰段AIS女孩与健康女孩的体重无显著差异。青春期期间,胸段和腰段AIS女孩的站立和坐高相似。与同年龄的健康女孩相比,胸段和腰段AIS女孩的矫正站立、坐高和腿长显著更高。此外,胸段AIS女孩比健康女孩更瘦。

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