• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

残留的T1倾斜可能会导致Lenke 1型青少年特发性脊柱侧凸患者的自我形象不佳。

Residual T1 tilt could lead to poor self-image for patients with Lenke type 1 adolescent idiopathic scoliosis.

作者信息

Banno Tomohiro, Yamato Yu, Hasegawa Tomohiko, Yoshida Go, Arima Hideyuki, Oe Shin, Ide Koichiro, Yamada Tomohiro, Kurosu Kenta, Matsuyama Yukihiro

机构信息

Department of Orthopaedic Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-Ku, Hamamatsu, Shizuoka, 431-3192, Japan.

Division of Surgical Care-Morimachi, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.

出版信息

Spine Deform. 2025 May;13(3):811-819. doi: 10.1007/s43390-024-01020-9. Epub 2024 Dec 10.

DOI:10.1007/s43390-024-01020-9
PMID:39658742
Abstract

STUDY DESIGN

Retrospective study.

PURPOSE

We aimed to investigate the clinical impact and risk factors for residual T1 tilt in patients with adolescent idiopathic scoliosis (AIS).

METHODS

We retrospectively analyzed data of patients with AIS and Lenke type 1 curves who underwent posterior fusion. Residual T1 tilt was defined as T1 tilt > 5° at 2 years postoperatively. Patients were classified based on the presence of residual T1 tilt: residual T1 tilt ( +) and residual T1 tilt (-) groups. Radiographic parameters and clinical outcomes were compared between the two groups.

RESULTS

Among 128 patients, 44 (34.4%) had residual T1 tilt. The residual T1 tilt ( +) group had a significantly greater preoperative proximal thoracic (PT) curve, greater preoperative T1 tilt, and main thoracic (MT) curve correction rate than the residual T1 tilt (-) group. Shoulder imbalance and neck tilt rates at 2 years postoperatively were significantly higher in the residual T1 tilt ( +) group. The residual T1 tilt ( +) group had a significantly worse postoperative self-image score. Multivariate analysis identified the preoperative PT curve magnitude as an independent risk factor for residual T1 tilt. Receiver operating characteristic curve analysis identified a preoperative PT curve cutoff value of 26.5°.

CONCLUSION

Achieving horizontalization of T1 tilt is vital to improve the self-image of patients with Lenke type 1 AIS. The study highlights the clinical impact of T1 tilt and identifies the preoperative PT curve magnitude as a significant independent risk factor.

LEVEL OF EVIDENCE

Level 4.

摘要

研究设计

回顾性研究。

目的

我们旨在调查青少年特发性脊柱侧凸（AIS）患者残余T1倾斜的临床影响及危险因素。

方法

我们回顾性分析了接受后路融合术的AIS和Lenke 1型曲线患者的数据。残余T1倾斜定义为术后2年T1倾斜>5°。根据残余T1倾斜的存在情况将患者分类：残余T1倾斜（+）组和残余T1倾斜（-）组。比较两组的影像学参数和临床结果。

结果

128例患者中，44例（34.4%）有残余T1倾斜。残余T1倾斜（+）组术前近端胸椎（PT）曲线明显更大，术前T1倾斜更大，主胸椎（MT）曲线矫正率高于残余T1倾斜（-）组。残余T1倾斜（+）组术后2年的肩部失衡和颈部倾斜率明显更高。残余T1倾斜（+）组术后自我形象评分明显更差。多因素分析确定术前PT曲线大小是残余T1倾斜的独立危险因素。受试者工作特征曲线分析确定术前PT曲线临界值为26.5°。

结论

实现T1倾斜水平化对于改善Lenke 1型AIS患者的自我形象至关重要。该研究突出了T1倾斜的临床影响，并确定术前PT曲线大小是一个重要的独立危险因素。

证据水平

4级。

相似文献

1
Residual T1 tilt could lead to poor self-image for patients with Lenke type 1 adolescent idiopathic scoliosis.残留的T1倾斜可能会导致Lenke 1型青少年特发性脊柱侧凸患者的自我形象不佳。
Spine Deform. 2025 May;13(3):811-819. doi: 10.1007/s43390-024-01020-9. Epub 2024 Dec 10.
2
Full fusion of proximal thoracic curve helps to prevent postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder.近端胸弯的完全融合有助于防止Lenke 2型右肩抬高的青少年特发性脊柱侧凸患者术后出现颈椎倾斜。
BMC Musculoskelet Disord. 2017 Aug 23;18(1):362. doi: 10.1186/s12891-017-1730-y.
3
Postoperative T1 tilt is a risk factor for postoperative distal adding-on in Lenke type 1 adolescent idiopathic scoliosis: A preliminary report.术后T1倾斜是Lenke 1型青少年特发性脊柱侧凸术后远端附加现象的一个危险因素：初步报告。
Medicine (Baltimore). 2020 May 22;99(21):e19983. doi: 10.1097/MD.0000000000019983.
4
An analysis of preoperative shoulder and neck balance and surgical outcome in 111 adolescent idiopathic scoliosis patients with two subtypes of Lenke 1 curves.对 111 例 Lenke1 型两种亚型青少年特发性脊柱侧凸患者术前肩颈平衡与手术结果的分析。
J Neurosurg Spine. 2020 Aug 28;34(1):37-44. doi: 10.3171/2020.5.SPINE20397. Print 2021 Jan 1.
5
Spontaneous proximal thoracic curve correction after isolated fusion of the main thoracic curve in adolescent idiopathic scoliosis.青少年特发性脊柱侧凸主胸弯单纯融合术后自发性胸段近端曲线矫正
Spine (Phila Pa 1976). 2001 Sep 15;26(18):1966-75. doi: 10.1097/00007632-200109150-00006.
6
Comparison of Extending Fusion to Thoracic Curve Versus Thoracolumbar/Lumbar Fusion in Posterior Fusion of Patients with Lenke 5C: Variation in Upper End Vertebrae Tilt Affected Coronal Balance.Lenke 5C型患者后路融合术中将融合范围扩展至胸弯与胸腰段/腰段融合的比较：上位终椎倾斜度的变化影响冠状面平衡。
World Neurosurg. 2019 Jan;121:e827-e835. doi: 10.1016/j.wneu.2018.09.232. Epub 2018 Oct 9.
7
Evaluation of the predictors of postoperative aggravation of shoulder imbalance in severe and rigid thoracic or thoracolumbar scoliosis.重度僵硬型胸椎或胸腰段脊柱侧凸术后肩部失衡加重的预测因素评估
Eur Spine J. 2016 Oct;25(10):3353-3365. doi: 10.1007/s00586-015-4313-3. Epub 2015 Nov 4.
8
The mechanisms underlying the variety of preoperative directionalities of shoulder tilting in adolescent idiopathic scoliosis patients with double thoracic curve.青少年特发性脊柱侧凸双胸弯患者术前肩部倾斜多种方向性的潜在机制。
Eur Spine J. 2018 Feb;27(2):305-311. doi: 10.1007/s00586-017-5171-y. Epub 2017 Jun 10.
9
How to determine the upper level of instrumentation in Lenke types 1 and 2 adolescent idiopathic scoliosis: a prospective study of 132 patients.如何确定Lenke 1型和2型青少年特发性脊柱侧凸的器械固定上限：132例患者的前瞻性研究
J Pediatr Orthop. 2008 Oct-Nov;28(7):733-9. doi: 10.1097/BPO.0b013e318185a36b.
10
Correlation of radiographic, clinical, and patient assessment of shoulder balance following fusion versus nonfusion of the proximal thoracic curve in adolescent idiopathic scoliosis.青少年特发性脊柱侧凸患者近端胸椎曲线融合与非融合后肩部平衡的影像学、临床及患者评估的相关性
Spine (Phila Pa 1976). 2002 Sep 15;27(18):2013-20. doi: 10.1097/00007632-200209150-00009.

本文引用的文献

1
Preoperative Less Right Shoulder Elevation Had a Higher Risk of Postoperative Shoulder Imbalance When Main Thoracic Curve Shows Higher Correction Regardless of the Upper Instrumented Vertebra Level for Patients with Adolescent Idiopathic Scoliosis Lenke Type 1.对于青少年特发性脊柱侧凸Lenke 1型患者，无论上固定椎水平如何，当主胸弯矫正程度较高时，术前右肩抬高较少术后肩部失衡风险更高。
Asian Spine J. 2023 Feb;17(1):166-175. doi: 10.31616/asj.2022.0020. Epub 2022 Sep 23.
2
Relationship Between C2 Semispinalis Cervicis Preservation and C2 Spinous Process Morphology During Cervical Laminoplasty Involving C3.涉及C3的颈椎椎板成形术中C2颈半棘肌保留与C2棘突形态的关系
Global Spine J. 2023 Sep;13(7):1938-1945. doi: 10.1177/21925682211062496. Epub 2021 Dec 17.
3
A Positive (+ve) Postoperative Upper Instrumented Vertebra Tilt Angle (≥0°) Significantly Increases the Risk of Medial Shoulder and Neck Imbalance in Lenke 1 and 2 Adolescent Idiopathic Scoliosis Patients.术后上节段椎体倾斜角（≥0°）阳性（+ve）显著增加 Lenke1 和 2 型青少年特发性脊柱侧凸患者的肩部和颈部内侧失衡风险。
Spine (Phila Pa 1976). 2020 Jun 15;45(12):E694-E703. doi: 10.1097/BRS.0000000000003407.
4
The Amount of Relative Curve Correction Is More Important Than Upper Instrumented Vertebra Selection for Ensuring Postoperative Shoulder Balance in Lenke Type 1 and Type 2 Adolescent Idiopathic Scoliosis.对于 Lenke 1 型和 2 型青少年特发性脊柱侧凸患者，保证术后肩部平衡，相对曲线矫正量比选择上终椎更为重要。
Spine (Phila Pa 1976). 2019 Sep 1;44(17):E1031-E1037. doi: 10.1097/BRS.0000000000003088.
5
The minimum detectable measurement difference for the Scoliosis Research Society-22r in adolescent idiopathic scoliosis: a comparison with the minimum clinically important difference.青少年特发性脊柱侧凸的 Scoliosis Research Society-22r 最小可检测测量差值：与最小临床重要差值的比较。
Spine J. 2019 Aug;19(8):1319-1323. doi: 10.1016/j.spinee.2019.04.008. Epub 2019 Apr 12.
6
Postoperative shoulder imbalance in adolescent idiopathic scoliosis: risk factors and predictive index.青少年特发性脊柱侧凸术后肩部失衡：危险因素和预测指标。
Eur Spine J. 2019 Jun;28(6):1331-1341. doi: 10.1007/s00586-019-05933-2. Epub 2019 Apr 4.
7
Shoulder balance in Lenke type 2 adolescent idiopathic scoliosis: Should we fuse to the second thoracic vertebra?Lenke 2型青少年特发性脊柱侧弯的肩部平衡：我们是否应融合至胸椎第二椎体？
Clin Neurol Neurosurg. 2017 Dec;163:156-162. doi: 10.1016/j.clineuro.2017.10.036. Epub 2017 Oct 31.
8
Incidence and risk factors for postoperative shoulder imbalance in scoliosis: a systematic review and meta-analysis.脊柱侧弯术后肩部失衡的发生率及危险因素：一项系统评价与Meta分析
Eur Spine J. 2018 Feb;27(2):358-369. doi: 10.1007/s00586-017-5289-y. Epub 2017 Sep 9.
9
A retrospective study to reveal factors associated with postoperative shoulder imbalance in patients with adolescent idiopathic scoliosis with double thoracic curve.一项回顾性研究，旨在揭示双胸弯青少年特发性脊柱侧凸患者术后肩部失衡的相关因素。
J Neurosurg Pediatr. 2016 Dec;25(6):744-752. doi: 10.3171/2016.6.PEDS16162. Epub 2016 Sep 23.
10
The Spontaneous Development of Cosmetic Shoulder Balance and Shorter Segment Fusion in Adolescent Idiopathic Scoliosis With Lenke I Curve: A Consecutive Study Followed Up for 2 to 5 Years.青少年特发性脊柱侧凸Lenke I型曲线患者肩部美观平衡及短节段融合的自然发展：一项随访2至5年的连续性研究
Spine (Phila Pa 1976). 2016 Jun;41(12):1028-1035. doi: 10.1097/BRS.0000000000001442.