Haje Davi DE Podestá, Teixeira Kelsen DE Oliveira, Silva Moacir, Volpon José Batista, Mendlovitz Paulo Sergio, Dolabela Paulo
Centro Clínico Orthopectus, Brasília, DF, Brazil.
Department of Pediatric Orthopaedics and Physical Medicine and Rehabilitation, Hospital de Base do Distrito Federal, Secretaria de Estado da Saúde do Distrito Federal, Brasília, DF, Brazil.
Acta Ortop Bras. 2021 Sep-Oct;29(5):258-262. doi: 10.1590/1413-785220212905243733.
To analyze reformatted sagittal sternal tomography images and classify sternal body curvature types, and compare different types of populations with one another and with normal individuals.
In total, 50 controls and 167 pectus patients were selected for chest CT to analyze the median sagittal plane, of whom 89 had mean age, 12 ± 10 years) and 78 (mean age, 14 ± 10 years). Clinical types of were classified as inferior, superior, or lateral and localized or broad The following types of sternal patterns were defined: gradual vertical curve, gradual posterior curve, gradual anterior curve, proximal third curve, middle third curve, distal third curve, anterior rectilinear, vertical rectilinear, and posterior rectilinear. Statistical analyses were performed to compare the different types of with one another and with the control group.
Patients with different thoracic deformities, but with similar sternal curvature patterns, were observed. Some types of sternal curvature were significantly more frequent in certain types of (p < 0,05). The gradual vertical curve and anterior rectilinear types prevailed in controls (p < 0,05).
Some sternal curvature patterns were more frequent than the others in certain types of and the controls.
分析矢状位胸骨断层扫描图像的重新格式化结果,对胸骨体弯曲类型进行分类,并比较不同类型人群之间以及与正常个体的差异。
共选取50名对照者和167名漏斗胸患者进行胸部CT扫描,以分析正中矢状面,其中89名患者的平均年龄为(12±10岁),78名患者的平均年龄为(14±10岁)。临床类型分为下型、上型或侧型,以及局限型或广泛型。定义了以下几种胸骨模式类型:逐渐垂直弯曲、逐渐向后弯曲、逐渐向前弯曲、近端三分之一弯曲、中间三分之一弯曲、远端三分之一弯曲、前部直线型、垂直直线型和后部直线型。进行统计分析以比较不同类型之间以及与对照组的差异。
观察到不同胸廓畸形但胸骨弯曲模式相似的患者。某些类型的漏斗胸中,某些类型的胸骨弯曲明显更为常见(p<0.05)。对照组中逐渐垂直弯曲型和前部直线型占主导(p<0.05)。
某些类型的漏斗胸和对照组中,某些胸骨弯曲模式比其他模式更为常见。