128例先天性脊柱侧凸患者队列中先天性椎管内异常的发生率及特征
Frequency and characteristics of congenital intraspinal abnormalities in a cohort of 128 patients with congenital scoliosis.
作者信息
Mariscal Gonzalo, Nuñez Jorge H, Bhatia Sanjay, Marsh Robert, Barrios Carlos, Domenech-Fernández Pedro
机构信息
Institute for Research on Musculoskeletal Disorders, Valencia Catholic University, Valencia, Spain.
Department of Traumatology and Orthopedic Surgery, Spine Unit, University Hospital of Mutua Terrassa, Barcelona, Spain.
出版信息
J Craniovertebr Junction Spine. 2019 Oct-Dec;10(4):229-233. doi: 10.4103/jcvjs.JCVJS_116_19. Epub 2020 Jan 23.
OBJECTIVES
The aims of this study were to determine the incidence and main characteristics of associated intraspinal anomalies in patients with congenital scoliosis (CS) and to analyze the different factors that influence the curve progression.
DESIGN
This was a retrospective comparative study.
METHODS
This was a retrospective study of 128 patients with CS.
MAIN OUTCOME MEASUREMENTS
The incidence of the patients with intraspinal anomalies and their demographic, clinical, and radiological values was described.
RESULTS
Intraspinal anomalies were present in 13.3% of the patients. Among them, the most frequent anomaly was syringomyelia. The most frequent curve was the thoracic curve. The main deformity based on McMaster classification was formation failure. The curve progression during follow-up did not show significant differences between vertebral anomalies, syringomyelia, presence of thoracic anomalies, and gender ( > 0.05).
CONCLUSIONS
Our study showed a lower percentage of spinal anomalies compared to other series. As other studies, the progression of the scoliosis curve in patients with spinal anomalies seems primarily to be determined by the type of vertebral malformation.
LEVEL OF EVIDENCE
Level II.
目的
本研究旨在确定先天性脊柱侧凸（CS）患者合并脊髓内异常的发生率及主要特征，并分析影响侧弯进展的不同因素。
设计
这是一项回顾性对照研究。
方法
对128例CS患者进行回顾性研究。
主要观察指标
描述脊髓内异常患者的发生率及其人口统计学、临床和放射学数据。
结果
13.3%的患者存在脊髓内异常。其中，最常见的异常是脊髓空洞症。最常见的侧弯类型是胸弯。基于麦克马斯特分类法的主要畸形类型是形成障碍。随访期间，椎体异常、脊髓空洞症、胸段异常的存在以及性别之间的侧弯进展无显著差异（P>0.05）。
结论
与其他系列研究相比，我们的研究显示脊髓异常的比例较低。与其他研究一样，脊髓异常患者脊柱侧弯曲线的进展似乎主要由椎体畸形类型决定。
证据级别
二级。
Zotero 插件