Trontelj J V, Pecak F, Dimitrijević M R
J Bone Joint Surg Br. 1979 Aug;61-B(3):310-3. doi: 10.1302/0301-620X.61B3.479254.
Segmental spinal reflexes (stretch reflexes) were studied in patients with scoliosis. The proprioceptive responses to the phasic stretch of the paraspinal muscles were asymmetric in all patients, and were increased on the convex side. The asymmetry was more pronounced when the patients were standing. The observed asymmetry of the reflex responses was taken to indicate asymmetry in the tone and postural activity of the superficial layer of the paraspinal muscles. A reciprocal relationship was found in the segmental reflex organisation between the superficial and deep layers of the paraspinal muscles. The increase in reflex response of the superficial muscles on the convex side can be due to diminished reciprocal inhibition from weak, deep muscles. Thus a segmental neurogenic disorder involving predominantly the deep paraspinal muscles of the convexity of the curve may be the primary lesion responsible for the development of scoliosis.
对脊柱侧弯患者的节段性脊髓反射（牵张反射）进行了研究。所有患者对椎旁肌相位性牵张的本体感受反应均不对称，且凸侧反应增强。患者站立时这种不对称更为明显。所观察到的反射反应不对称被认为表明椎旁肌表层张力和姿势活动存在不对称。在椎旁肌表层和深层之间的节段性反射组织中发现了一种相互关系。凸侧表层肌肉反射反应的增强可能是由于较弱的深层肌肉的交互抑制减弱所致。因此，主要累及侧弯凸侧深层椎旁肌的节段性神经源性疾病可能是导致脊柱侧弯发展的原发性病变。
