Duval-Beaupère G, Lamireau T
Spine (Phila Pa 1976). 1985 Jun;10(5):421-4.
In an attempt to find prognostic factors for mild scoliosis, the first clinical and radiologic data of 159 subjects with idiopathic scoliosis less than 30 degrees were correlated with the annual speed of progression estimated graphically by further examinations. Thoracic and double major are more progressive than thoracolumbar and lumbar. The correlation with rate of progression is better for supine angle than for standing angle. Curves with low supine angles are those that have great relative collapse and low risk of progression. Only the rib hump of thoracic and thoracolumbar are correlated with evolutivity. Predictive equations give less approximation for individual prognosis than a previous graphic method, so they are not used. Approximately 73% of scoliosis have evolutivities less than 6 degrees per year and required nocturn corrective treatment.
为了寻找轻度脊柱侧凸的预后因素,对159例特发性脊柱侧凸小于30度患者的首次临床和放射学数据与通过进一步检查以图形方式估计的年进展速度进行了关联分析。胸弯和双主弯比胸腰弯和腰弯进展更快。仰卧位角度与进展速度的相关性优于站立位角度。仰卧位角度低的曲线相对塌陷大且进展风险低。只有胸弯和胸腰弯的肋骨隆突与进展情况相关。预测方程对个体预后的近似程度低于先前的图形方法,因此未被采用。约73%的脊柱侧凸每年进展小于6度,需要夜间矫正治疗。