对来自一家门诊诊所的特发性脊柱侧凸病历进行回顾性分析，以符合脊柱侧凸研究学会支具治疗研究标准。
Retrospective analysis of idiopathic scoliosis medical records coming from one out-patient clinic for compatibility with Scoliosis Research Society criteria for brace treatment studies.
作者信息
Korbel Krzysztof, Stoliński Łukasz, Kozinoga Mateusz, Kotwicki Tomasz
机构信息
Rehasport Clinic, Górecka 30, Poznan, 60-476 Poland.
Rehasport Clinic, Górecka 30, Poznan, 60-476 Poland ; Spine Disorders and Pediatric Orthopaedics Department, University of Medical Sciences, Górecka 30, Poznan, 60-476 Poland.
出版信息
Scoliosis Spinal Disord. 2016 Oct 14;11(Suppl 2):37. doi: 10.1186/s13013-016-0097-4. eCollection 2016.
BACKGROUND
First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria. A retrospective analysis of medical records of 2705 girls treated from 1989 to 2002 was carried out.
METHODS
Age, Cobb, Risser and menarchal status were analyzed for compliance with the Scoliosis Research Society brace studies criteria: a) age ≥10 years, b) Risser 0-2, c) 25-40° Cobb angle, d) no earlier treatment, e) patients before first menses or not more than one year from first menses.
RESULTS
It has been found that 183 girls out of 2705 were ≥10 years old and in the range 25-40° Cobb angle. One hundred two out of 2705 patients revealed eligible for brace effectiveness study according to SRS 2005 criteria. 120 out of 2705 patients revealed eligible for brace brace effectiveness study according to SRS-SOSORT 2014 criteria.
CONCLUSION
The excluded patients revealed too old or with too significant Cobb angles. This indicates the changing criteria for scoliosis brace treatment over the time. Direct comparison of current results of brace treatment with historical series of cases turns out to be very difficult.
背景
第一作者试图分析特发性脊柱侧凸患者的病历，以确定其是否符合脊柱侧凸研究学会支具研究标准。对1989年至2002年期间接受治疗的2705名女孩的病历进行了回顾性分析。
方法
分析年龄、Cobb角、Risser征和月经初潮状态，以确定是否符合脊柱侧凸研究学会支具研究标准：a）年龄≥10岁，b）Risser征0-2级，c）Cobb角25-40°，d）未接受过早期治疗，e）月经初潮前患者或距月经初潮不超过一年的患者。
结果
已发现2705名女孩中有183名年龄≥10岁且Cobb角在25-40°范围内。根据SRS 2005标准，2705名患者中有102名符合支具疗效研究的条件。根据SRS-SOSORT 2014标准，2705名患者中有120名符合支具疗效研究的条件。
结论
被排除的患者年龄太大或Cobb角太大。这表明脊柱侧凸支具治疗的标准随时间而变化。将当前支具治疗结果与历史病例系列进行直接比较非常困难。
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