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青少年特发性脊柱侧凸中的身高及其组成部分。女孩躯干的头尾比例失调。

Stature and its components in adolescent idiopathic scoliosis. Cephalo-caudal disproportion in the trunk of girls.

作者信息

Nicolopoulos K S, Burwell R G, Webb J K

出版信息

J Bone Joint Surg Br. 1985 Aug;67(4):594-601. doi: 10.1302/0301-620X.67B4.4030857.

DOI:10.1302/0301-620X.67B4.4030857
PMID:4030857
Abstract

Stature and its components were examined in 143 girls aged 11 to 15 years with adolescent idiopathic scoliosis. Correction was made for loss of height due to the lateral spinal curvature, and the findings were compared with those from 202 healthy girls of similar age. Using three components of stature (suprapelvic, pelvic and subischial heights) we were able to show that the relatively greater stature of girls with adolescent idiopathic scoliosis was due to changes in the pelvis and lower limbs but not significantly in the spine. Suprapelvic height was reduced relative to subischial height; this probably represents the growth pattern of predominantly ectomorphic individuals, reflecting the physique of many of these girls. Pelvic height was disproportionately increased, and this is considered to be a true rather than an apparent difference. Cephalocaudal disproportion involving two segments suggests a common mechanism of causation which is unlikely to be secondary to the scoliosis. These physical features may in some way be associated with a predisposition to progression of the scoliosis.

摘要

对143名年龄在11至15岁的青少年特发性脊柱侧凸女孩的身高及其组成部分进行了检查。对因脊柱侧凸导致的身高损失进行了校正,并将结果与202名年龄相仿的健康女孩的结果进行了比较。通过使用身高的三个组成部分(骨盆上、骨盆和坐骨下高度),我们能够表明,青少年特发性脊柱侧凸女孩相对较高的身高是由于骨盆和下肢的变化,而脊柱的变化并不显著。骨盆上高度相对于坐骨下高度降低;这可能代表了主要为外胚层体型个体的生长模式,反映了这些女孩中的许多人的体格。骨盆高度不成比例地增加,这被认为是一个真实而非表面的差异。涉及两个节段的头尾不成比例提示了一种共同的致病机制,这种机制不太可能是脊柱侧凸的继发因素。这些身体特征可能在某种程度上与脊柱侧凸进展的易感性有关。

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