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一种脊柱侧弯筛查的客观标准。

An objective criterion for scoliosis screening.

作者信息

Bunnell W P

出版信息

J Bone Joint Surg Am. 1984 Dec;66(9):1381-7.

PMID:6501335
Abstract

A specially designed inclinometer has been used to measure one part of the clinical deformity (asymmetry of the trunk) that is seen in scoliosis. This objective measurement provides one good guideline that can effectively determine, in surveys of children, whether or not further orthopaedic evaluation is needed. A minimum significant angle of trunk rotation of 5 degrees was shown by computer-analyzed data from 1,065 patients to be a good criterion for identifying curvatures of 20 degrees or more. The specificity of scoliosis screening in this manner has a projected false-negative rate of 0.1 per cent and a high degree of sensitivity. The method is simple, reliable, and inexpensive. It is easily taught to lay personnel who can be employed in scoliosis screening procedures.

摘要

一种专门设计的倾斜仪已被用于测量脊柱侧弯中出现的临床畸形的一个部分(躯干不对称)。这种客观测量提供了一个很好的指导方针,在对儿童的调查中可以有效地确定是否需要进一步的骨科评估。对1065名患者的计算机分析数据显示,躯干旋转的最小显著角度为5度是识别20度或更大弯曲度的良好标准。以这种方式进行脊柱侧弯筛查的特异性预计假阴性率为0.1%,且具有高度敏感性。该方法简单、可靠且成本低廉。很容易教会非专业人员,他们可被用于脊柱侧弯筛查程序。

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