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西德的脊柱侧弯筛查及其在休曼氏病中的陷阱。

Scoliosis screening in West Germany and its pitfalls with Scheuermann's disease.

作者信息

Mau H

出版信息

Arch Orthop Trauma Surg (1978). 1985;104(4):201-6. doi: 10.1007/BF00450210.

DOI:10.1007/BF00450210
PMID:4084033
Abstract

The problems of scoliosis screening in the Federal Republic of Germany are outlined. The main pitfall with regard to the high numbers of very mild scolioses seems to be the disregard of mild forms in connection with Scheuermann's disease, in spite of their good prognosis. This group should be clearly separated, by means of a lateral X-ray, from beginning idiopathic adolescent scoliosis, with its doubtful prognosis. Moreover, it is necessary to exclude all curves below 10 degrees shown on the a.p. standing X-ray, not forgetting the fact that a seemingly mild scoliosis might be due in part to misleading projections and positions. The use of an electronic balance scale may be helpful in this respect.

摘要

概述了德意志联邦共和国脊柱侧弯筛查的问题。鉴于大量非常轻微的脊柱侧弯病例,主要问题似乎是忽视了与休曼病相关的轻度类型,尽管其预后良好。这一组应通过侧位X线片与特发性青少年脊柱侧弯的早期阶段明确区分开来,后者预后不明。此外,必须排除前后位站立位X线片显示的所有小于10度的侧弯,不要忘记看似轻度的脊柱侧弯可能部分归因于误导性的投影和体位。在这方面,使用电子秤可能会有所帮助。

相似文献

1
Scoliosis screening in West Germany and its pitfalls with Scheuermann's disease.西德的脊柱侧弯筛查及其在休曼氏病中的陷阱。
Arch Orthop Trauma Surg (1978). 1985;104(4):201-6. doi: 10.1007/BF00450210.
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引用本文的文献

1
SOSORT consensus paper: school screening for scoliosis. Where are we today?SOSORT共识文件:学校脊柱侧弯筛查。我们如今处于什么状况?
Scoliosis. 2007 Nov 26;2:17. doi: 10.1186/1748-7161-2-17.

本文引用的文献

1
[On the incidence of thoracal scoliosis in juveniles (author's transl)].[关于青少年胸段脊柱侧弯的发病率(作者译)]
Z Orthop Ihre Grenzgeb. 1981 Aug;119(4):340-3. doi: 10.1055/s-2008-1051633.
2
[Differential diagnosis of early scoliosis in Scheuermann's disease and idiopathic scoliosis (author's transl)].[青少年椎体骨骺炎与特发性脊柱侧凸早期脊柱侧凸的鉴别诊断(作者译)]
Z Orthop Ihre Grenzgeb. 1982 Feb;120(1):58-63. doi: 10.1055/s-2008-1051576.
3
Scheuermann's kyphosis and roundback deformity. Results of Milwaukee brace treatment.
休曼氏脊柱后凸和圆背畸形。密尔沃基支具治疗的结果。
J Bone Joint Surg Am. 1974 Jun;56(4):740-58.
4
[Clinical aspects and prognosis of Scheuermann's scoliosi's].[休曼氏脊柱侧凸的临床特征与预后]
Z Orthop Ihre Grenzgeb. 1975 Aug;113(4):573-5.
5
Scoliosis: A prospective epidemiological study.脊柱侧弯:一项前瞻性流行病学研究。
J Bone Joint Surg Am. 1975 Oct;57(7):968-72.