Saeedi Marjan, Kamyab Mojtaba, Babaee Taher, Behtash Hamid, Ganjavian Mohammad Saleh
Prosthetics and Orthotics, Iran University of Medical Sciences, Tehran, Iran.
Department of Orthopaedic Surgery, Iran University of Medical Sciences, Shafa Yahyaiian Hospital, Tehran, Iran.
Turk J Phys Med Rehabil. 2020 Nov 9;66(4):452-458. doi: 10.5606/tftrd.2020.4955. eCollection 2020 Dec.
This study aims to evaluate the effects of bracing on the Cobb angle and sagittal spinopelvic parameters in adolescent idiopathic scoliosis (AIS) patients.
A total of 25 adolescents (2 males, 23 females; mean age 12.7±1.6; range, 10-15 years) with AIS who received bracing between January 2000 and June 2017 were retrospectively analyzed. The initial and final out-of-brace radiographs of 25 AIS patients were analyzed with regard to the spinopelvic parameters. The pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), Cobb angle, thoracic kyphosis (TK), and lumbar lordosis (LL) were measured.
The mean age at the initiation of bracing was 12.7±1.6 years. The mean initial Cobb angle was 31.8°±5.9°. There were no statistically significant differences between the baseline and the final measurements of the PI, PT, and SS. However, there were statistically significant differences between the baseline and the final measurements of the TK, LL, and Cobb angle. A significant correlation was observed between the PI and Cobb angle and TK and between the LL and SS.
Our study results show significant associations between the sagittal pelvic parameters and the spinal parameters during the brace treatment of adolescents with idiopathic scoliosis.
本研究旨在评估支具对青少年特发性脊柱侧凸（AIS）患者Cobb角和矢状面脊柱-骨盆参数的影响。
回顾性分析2000年1月至2017年6月期间接受支具治疗的25例AIS青少年患者（2例男性，23例女性；平均年龄12.7±1.6岁；范围10 - 15岁）。对25例AIS患者的初始和最终非支具状态下的X线片进行脊柱-骨盆参数分析。测量骨盆入射角（PI）、骨盆倾斜角（PT）、骶骨倾斜角（SS）、Cobb角、胸椎后凸角（TK）和腰椎前凸角（LL）。
开始支具治疗时的平均年龄为12.7±1.6岁。初始Cobb角平均为31.8°±5.9°。PI、PT和SS的基线测量值与最终测量值之间无统计学显著差异。然而，TK、LL和Cobb角的基线测量值与最终测量值之间存在统计学显著差异。观察到PI与Cobb角、TK之间以及LL与SS之间存在显著相关性。
我们的研究结果表明，在青少年特发性脊柱侧凸的支具治疗期间，矢状面骨盆参数与脊柱参数之间存在显著关联。
