Topalis Christos, Grauers Anna, Diarbakerli Elias, Danielsson Aina, Gerdhem Paul
Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Science, Intervention and Technology, Karolinska Institutet, K54, Karolinska University Hospital, SE-141 86 Stockholm, Sweden.
Scoliosis Spinal Disord. 2017 Jun 8;12:20. doi: 10.1186/s13013-017-0125-z. eCollection 2017.
The knowledge is sparse concerning neck problems in patients with idiopathic scoliosis. This is an observational study including a control group which aims to describe the prevalence of neck problems and the association with back problems among adult individuals with and without idiopathic scoliosis.
One thousand sixty-nine adults with a mean age of 40 years, diagnosed with idiopathic scoliosis in youth, answered a questionnaire on neck and back problems. Eight hundred seventy of these answered the same questionnaire at a second occasion in a mean of 4 years later. Comparisons were made with a cross-sectional population-based survey of 158 individuals. Statistical analyses were made with logistic regression or analysis of variance, adjusted for age, smoking status, and sex.
Individuals with scoliosis were previously untreated ( = 374), brace treated ( = 451), or surgically treated ( = 244). Of the individuals with scoliosis, 42% ( = 444) had neck problems compared to 20% ( = 32) of the controls ( = 0.001). The prevalence of neck problems was not affected by the type of treatment ( = 0.67) or onset of scoliosis; juvenile ( = 159) or adolescent ( = 910; = 0.68). Neck and/or back problems were experienced by 72% of the individuals with scoliosis and 37% of the controls ( < 0.001). Of the individuals with scoliosis having neck problems, 81% also reported back problems, compared to 59% of the individuals in the control group ( < 0.001). The prevalence of neck and back problems was similar at the second survey.
Neck problems are more prevalent and more often coexist with back problems in individuals with idiopathic scoliosis than in controls. The majority of individuals have persisting problems over time.
关于特发性脊柱侧凸患者颈部问题的知识较为匮乏。这是一项包含对照组的观察性研究，旨在描述患有和未患有特发性脊柱侧凸的成年个体中颈部问题的患病率及其与背部问题的关联。
1069名平均年龄为40岁、年轻时被诊断为特发性脊柱侧凸的成年人回答了一份关于颈部和背部问题的问卷。其中870人在平均4年后的第二次调查中回答了相同问卷。与一项基于158人的横断面人群调查进行比较。采用逻辑回归或方差分析进行统计分析，并对年龄、吸烟状况和性别进行了调整。
脊柱侧凸患者曾接受过未治疗（n = 374）、支具治疗（n = 451）或手术治疗（n = 244）。脊柱侧凸患者中有42%（n = 444）存在颈部问题，而对照组为20%（n = 32）（P = 0.001）。颈部问题的患病率不受治疗类型（P = 0.67）或脊柱侧凸发病年龄（青少年型，n = 159；青春期型，n = 910；P = 0.68）的影响。72%的脊柱侧凸患者和37%的对照组患者经历过颈部和/或背部问题（P < 0.001）。有颈部问题的脊柱侧凸患者中，81%也报告有背部问题，而对照组为59%（P < 0.001）。第二次调查时颈部和背部问题的患病率相似。
与对照组相比，特发性脊柱侧凸患者颈部问题更普遍，且更常与背部问题并存。大多数患者随着时间推移问题持续存在。
