Park Jun-Il, Kee Joo-Hyun, Choi Ja Young, Yang Shin-Seung
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon 35015, Korea.
Children (Basel). 2021 Aug 26;8(9):735. doi: 10.3390/children8090735.
It has been reported that congenital muscular torticollis (CMT) may result in secondary scoliosis over long-term follow-ups. However, there are few reports on whether CMT causes pelvic malalignment syndrome (PMS). This study aimed to investigate the relationship between CMT and PMS and to determine the factors associated with the development of PMS in children with longstanding CMT. Medical records of 130 children with CMT who had long-term follow-up were reviewed retrospectively. The chi-squared test and logistic regression analysis were used to determine which initial clinical parameters contributed to the development of PMS. Among 130 children with CMT, 51 (39.2%) developed PMS with or without compensatory scoliosis during long-term follow-up, indicating a high prevalence of PMS in children with a CMT history. Initial clinical symptoms such as a limited range of motion of the neck or the presence of a neck mass could not predict the development of PMS. Even if the clinical symptoms are mild, long-term follow-up of children with CMT is essential to screen for PMS.
据报道，先天性肌性斜颈（CMT）在长期随访中可能导致继发性脊柱侧弯。然而，关于CMT是否会导致骨盆排列不齐综合征（PMS）的报道很少。本研究旨在探讨CMT与PMS之间的关系，并确定长期患有CMT的儿童发生PMS的相关因素。回顾性分析了130例接受长期随访的CMT患儿的病历。采用卡方检验和逻辑回归分析来确定哪些初始临床参数促成了PMS的发生。在130例CMT患儿中，51例（39.2%）在长期随访中出现了伴有或不伴有代偿性脊柱侧弯的PMS，这表明有CMT病史的儿童中PMS的患病率很高。颈部活动范围受限或存在颈部肿块等初始临床症状无法预测PMS的发生。即使临床症状较轻，对CMT患儿进行长期随访对于筛查PMS也至关重要。
