Tolo V T
Spine (Phila Pa 1976). 1983 May-Jun;8(4):373-7. doi: 10.1097/00007632-198305000-00006.
With the proliferation of school screening programs for spinal deformity, attention has been directed to methods of scoliosis evaluation and follow-up that avoid serial x-ray exposure. An historical review of the scoliosis literature prior to the extensive use of x-ray in scoliosis care has demonstrated much that is now being "rediscovered." By 1900, screening for spinal deformity in the schools had been instituted, pertinent findings of the physical examination in patients with scoliosis had been well described, and early natural history information had been obtained regarding the behavior of small curves and curves associated with thoracic lordosis. Recordings of surface contours and rib humps, using inclinometers, lead rulers, and other measuring devices, were used to assess the progression of curves. Low contour braces were widely available. Although our orthopaedic forefathers had many erroneous ideas, a perusal of the early orthopaedic writings from around the turn of the century has shown how little is "new" (other than changes in material and spinal instrumentation techniques) from what was recognized 75 years ago.
随着针对脊柱畸形的学校筛查项目不断增加，人们的注意力已转向避免多次X线照射的脊柱侧弯评估和随访方法。对脊柱侧弯护理中广泛使用X线之前的脊柱侧弯文献进行历史回顾，发现了许多现在正在“重新发现”的内容。到1900年，学校已开始对脊柱畸形进行筛查，脊柱侧弯患者体格检查的相关发现已得到充分描述，并且已获得关于小弧度曲线以及与胸椎前凸相关曲线的早期自然史信息。使用倾角仪、铅尺和其他测量设备记录表面轮廓和肋骨隆起，以评估曲线的进展。低轮廓支具广泛可得。尽管我们的骨科先辈们有许多错误观念，但仔细研读世纪之交前后的早期骨科著作可以发现，与75年前所认识到的情况相比，（除了材料和脊柱器械技术的变化之外）几乎没有什么“新”东西。
