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脊柱侧弯筛查:一个社区项目的结果

Scoliosis screening: results of a community project.

作者信息

Gore D R, Passehl R, Sepic S, Dalton A

出版信息

Pediatrics. 1981 Feb;67(2):196-200.

PMID:7243444
Abstract

From 1973 to 1977, 7,642 girls and 751 boys were screened for spinal deformity in a Wisconsin County with a population of approximately 100,000. Of 243 girls and 30 boys found to have scoliosis, 155 girls and 13 boys had curves 10 degrees or greater. The most common location and curve direction was right thoracic; 98% of those with scoliosis were classified as idiopathic. Eighteen girls required treatment when initially seen: ten with a Milwaukee brace and eight with spine fusion. Of those not treated and followed for six months or longer, 24 girls and one boy had a decrease in their curve of at least 5 degrees, and 21 girls and one boy had an increase in their curve of at least 5 degrees. Determination of which curves would progress was unpredictable and identification of progression was possible only by repeated examinations.

摘要

1973年至1977年期间,在威斯康星州一个人口约10万的县对7642名女孩和751名男孩进行了脊柱畸形筛查。在发现患有脊柱侧弯的243名女孩和30名男孩中,155名女孩和13名男孩的弯曲度达到或超过10度。最常见的部位和弯曲方向是右胸段;98%的脊柱侧弯患者被归类为特发性。18名女孩在初诊时需要治疗:10名佩戴密尔沃基支具,8名进行脊柱融合手术。在未接受治疗并随访六个月或更长时间的患者中,24名女孩和1名男孩的弯曲度至少降低了5度,21名女孩和1名男孩的弯曲度至少增加了5度。哪些弯曲度会进展是无法预测的,只有通过反复检查才能确定进展情况。

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