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囊性纤维化中的脊柱侧凸——一项评估。

Scoliosis in cystic fibrosis--an appraisal.

作者信息

Paling M R, Spasovsky-Chernick M

出版信息

Skeletal Radiol. 1982;8(1):63-66. doi: 10.1007/BF00361373.

DOI:10.1007/BF00361373
PMID:7079787
Abstract

An unusually high prevalence (10%) of scoliosis is described in a series of 151 patients aged four years and older with cystic fibrosis. The scolioses were of the late onset (juvenile and adolescent) type, being typically thoracic with the curve convex to the right, although there was no significant preference for either sex. No direct relationship was found between the spinal curvature and the severity or distribution of the lung disease, although the worse scolioses tended to occur in patients with relatively severe pulmonary involvement. There was no evidence of metabolic bone disease as a predisposing cause. Some indication of a familial tendency towards scoliosis was apparent, and a genetic or constitutional basis is postulated with an unknown precipitating factor.

摘要

在一组151例4岁及以上的囊性纤维化患者中,脊柱侧凸的患病率异常高(10%)。这些脊柱侧凸为迟发型(青少年型),典型表现为胸段脊柱侧凸,凸向右侧,尽管在性别上没有明显的偏好。未发现脊柱弯曲与肺部疾病的严重程度或分布之间存在直接关系,尽管较严重的脊柱侧凸往往发生在肺部受累相对严重的患者中。没有证据表明代谢性骨病是一个诱发原因。有一些迹象表明脊柱侧凸存在家族倾向,并推测有遗传或体质基础,同时存在一个未知的诱发因素。

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引用本文的文献

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Prevalence of Scoliosis in Children and Adolescents with Cystic Fibrosis.患有囊性纤维化的儿童和青少年脊柱侧弯的患病率。
Children (Basel). 2024 Mar 8;11(3):321. doi: 10.3390/children11030321.
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The involvement of musculoskeletal system and its influence on postural stability in children and young adults with cystic fibrosis.肌肉骨骼系统的参与及其对囊性纤维化儿童和青年患者姿势稳定性的影响。
Ital J Pediatr. 2017 Nov 21;43(1):106. doi: 10.1186/s13052-017-0426-0.
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Scoliosis Surgery in Cystic Fibrosis: Surgical Considerations and the Multidisciplinary Approach of a Rare Case.

本文引用的文献

1
The incidence of scoliosis in the state of Delaware; a study of 50,000 minifilms of the chest made during a survey for tuberculosis.特拉华州脊柱侧弯的发病率;对结核病调查期间拍摄的50000份胸部微缩胶片的研究。
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Familial (idiopathic) scoliosis. A family survey.家族性(特发性)脊柱侧弯。一项家族调查。
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3
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囊性纤维化患者的脊柱侧弯手术:手术考量及一例罕见病例的多学科治疗方法
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4
Rickets in adult cystic fibrosis with myopathy, pancreatic insufficiency and proximal renal tubular dysfunction.患有肌病、胰腺功能不全和近端肾小管功能障碍的成年囊性纤维化患者的佝偻病
Am J Med. 1977 Sep;63(3):488-92. doi: 10.1016/0002-9343(77)90290-x.
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Research in cystic fibrosis (first of three parts).
N Engl J Med. 1976 Aug 26;295(9):481-5. doi: 10.1056/NEJM197608262950905.
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Scoliosis prevalence: a call for a statement of terms.脊柱侧弯患病率:呼吁对术语进行界定。
Clin Orthop Relat Res. 1977 Jul-Aug(126):43-6.
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Screening for spinal deformities in Minnesota schools.
Clin Orthop Relat Res. 1977 Jul-Aug(126):33-42.
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The etiology of idiopathic scoliosis.
Clin Orthop Relat Res. 1977 Jul-Aug(126):17-25.
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Spine deformities and cystic fibrosis.脊柱畸形与囊性纤维化
Clin Orthop Relat Res. 1978 Mar-Apr(131):146-50.
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Research in cystic fibrosis (third of three parts).
N Engl J Med. 1976 Sep 9;295(11):597-602. doi: 10.1056/NEJM197609092951105.