Charles Yann Philippe, Canavese Federico, Diméglio Alain
aDepartment of Spine Surgery, University Hospital of Strasbourg, Strasbourg bDepartment of Pediatric Surgery, University Hospital of Clermont-Ferrand, Clermont-Ferrand cFaculty of Medicine, University of Montpellier, Montpellier, France.
J Pediatr Orthop B. 2017 May;26(3):240-244. doi: 10.1097/BPB.0000000000000410.
We aimed to determine the curve progression risk of idiopathic scoliosis in patients at the time of peak height velocity by plotting curve magnitudes against olecranon stages of skeletal maturation. Register data of 372 patients with juvenile or adolescent idiopathic scoliosis followed at 6-month intervals from onset of scoliosis to skeletal maturity were reviewed. At the onset of the pubertal growth spurt, curves greater than 30° have a 100% risk of progressing over 45° (P<0.0001). Curves 21-30° have a progression risk of 72.5% (P=0.0034). A curve progression velocity 6-10° per year represents a risk of 71.8% (P=0.0001) to require surgical treatment and a velocity greater than 10° per year represents a risk of 100% (P<0.0001). Plotting curve magnitudes against height measurements and the stages of olecranon maturation offers a reliable prediction of curve progression risk in idiopathic scoliosis during Risser 0.
我们旨在通过绘制脊柱侧弯度数与骨骼成熟度的鹰嘴突分期的关系图，来确定特发性脊柱侧弯患者在身高增长速度峰值时的侧弯进展风险。回顾了372例青少年特发性脊柱侧弯患者的登记数据，这些患者从脊柱侧弯发病到骨骼成熟期间每隔6个月进行随访。在青春期生长突增开始时，大于30°的脊柱侧弯进展至超过45°的风险为100%（P<0.0001）。21-30°的脊柱侧弯进展风险为72.5%（P=0.0034）。每年进展速度为6-10°的脊柱侧弯有71.8%的风险（P=0.0001）需要手术治疗，而每年进展速度大于10°的脊柱侧弯有100%的风险（P<0.0001）。绘制脊柱侧弯度数与身高测量值以及鹰嘴突成熟分期的关系图，可为Risser 0期特发性脊柱侧弯的侧弯进展风险提供可靠预测。
