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使用计算机断层扫描研究非典型休曼氏后凸畸形的患病率。

Study of the Prevalence of Atypical Scheuermann's Kyphosis Using Computed Tomography Scans.

作者信息

Souza Gabriel de Valentim, Oki Lucas Yuya, Portelinha Alexandre Martins, Pontes Mariana Demétrio de Sousa, Herrero Carlos Fernando Pereira da Silva

机构信息

Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

Divisão de Ortopedia Pediátrica, Hospital São Lucas, Ribeirão Preto, SP, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Dec 21;59(6):e854-e860. doi: 10.1055/s-0044-1792119. eCollection 2024 Dec.

DOI:10.1055/s-0044-1792119
PMID:39711633
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11663052/
Abstract

The aim of the present study was to detect atypical Scheuermann's disease through computed tomography scans and estimate its prevalence.  This cross-sectional observational study involved 1,287 computed tomography scans from patients aged 18 to 40 years of both genders. The criteria for diagnosing atypical Scheuermann's disease included wedging of 5° in 3 consecutive vertebrae, combined with a total Cobb angle of 10° or more within the thoracolumbar interval from T8 to L2. Positive cases were assessed for kyphosis severity, presence of Schmorl's nodes, and scoliosis. Prevalence estimation and correlation analysis with age and sex were performed.  The study identified 28 cases of atypical Scheuermann's kyphosis, indicating a prevalence of 2.8%.  The current research, utilizing abdominal tomography, offers valuable insights into the prevalence of Scheuermann's disease in its atypical form within the sampled population.

摘要

本研究的目的是通过计算机断层扫描检测非典型休门氏病，并估计其患病率。 这项横断面观察性研究涉及1287例18至40岁男女患者的计算机断层扫描。诊断非典型休门氏病的标准包括连续3个椎体楔形变5°，并在T8至L2的胸腰段区间内Cobb角总和为10°或更大。对阳性病例评估脊柱后凸严重程度、许莫氏结节的存在情况和脊柱侧凸。进行患病率估计以及与年龄和性别的相关性分析。 该研究确定了28例非典型休门氏脊柱后凸病例，患病率为2.8%。 目前这项利用腹部断层扫描的研究，为抽样人群中非典型形式的休门氏病患病率提供了有价值的见解。

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