Nissinen M, Heliövaara M, Tallroth K, Poussa M
Laakso Hospital, Helsinki, Finland.
Acta Paediatr Scand. 1989 Sep;78(5):747-53. doi: 10.1111/j.1651-2227.1989.tb11137.x.
A total of 1060 children (515 girls, 545 boys) were examined for screening of trunk asymmetry ans scoliosis at an average age of 10.8 years. The physical examination consisted of height, sitting height, total arm length and leg length inequality determinations and moiré topography. Trunk asymmetry was measured by forward bending test and a posteroanterior standing radiograph of the spine was taken of those 188 (17.7%) children who had a trunk hump greater than or equal to 6 mm. Only 20.1% of the children were found to be exactly symmetric in the forward bending test, 47.3% had a right-sided hump and 32.6% had a left-side hump. Humps of 6 mm or more were significantly (p = 0.03) more prevalent among girls (21.7%) than boys (16.3%). Moré fringe asymmetry was provided to be common: only 9% of the material was totally symmetric, two thirds has asymmetry of less than or equal to 1 fringe, 26.6% has asymmetry greater than 1 and less than or equal or 2 and 5.4% greater than 2. The prevalence of scoliosis (trunk hump greater than or equal to 6 mm and Cobb angle less than or equal to 10 degree) was 4.1%. The majority (72.1%) of the curves were left convex.
共有1060名儿童（515名女孩，545名男孩）接受了躯干不对称和脊柱侧弯筛查，平均年龄为10.8岁。体格检查包括身高、坐高、双臂总长度和腿长不等的测定以及云纹图检查。通过前屈试验测量躯干不对称，并对188名（17.7%）躯干隆起大于或等于6毫米的儿童拍摄脊柱正位站立X线片。在前屈试验中，仅20.1%的儿童被发现完全对称，47.3%有右侧隆起，32.6%有左侧隆起。6毫米或以上的隆起在女孩（21.7%）中比男孩（16.3%）中显著更常见（p = 0.03）。发现云纹条纹不对称很常见：仅9%的资料完全对称，三分之二的不对称小于或等于1条条纹，26.6%的不对称大于1且小于或等于2条条纹，5.4%的不对称大于2条条纹。脊柱侧弯（躯干隆起大于或等于6毫米且Cobb角小于或等于10度）的患病率为4.1%。大多数（72.1%）的弯曲为左侧凸。
