Skogland L B, Miller J A
Acta Orthop Scand. 1981;52(2):177-85. doi: 10.3109/17453678108991778.
The length of the thoracolumbar spine was measured on standardized X-ray films from 274 children (6 1/2--18 1/2 years) with idiopathic scoliosis and 212 controls. Where possible, the height and width (traverse diameter) of two vertebral bodies (T-6 and L-4) were also measured. Although a tendency towards longer spines in the scoliotics could be found, there was no significant difference between children with idiopathic scoliosis and controls in this respect. In girls the pubertal growth-spurt of the spine was found to start about 1 year earlier than in the controls and the growth of the spine seemed to cease later in the scoliotics. The height and width of T-6 was significantly greater in the scoliotics than in the controls for girls under 13 years of age. In the older girls and in the boys no significant difference could be demonstrated. The height of L-4 tended to be greater in the scoliotic boys and younger girls, though the differences were not statistically significant. The index height/width was calculated for T-6 and L-4 in all groups of patients and higher values could be demonstrated in the scoliotics for all test groups. The greatest height of T-6 in scoliotics might indicate a longer thoracic spine in these children. The higher values of the height/width indices suggest that the thoracolumbar spine in children with idiopathic scoliosis has an increased slenderness compared with the spine in non-scoliotic children.
在274名患有特发性脊柱侧凸的儿童（6.5至18.5岁）和212名对照儿童的标准化X光片上测量了胸腰椎的长度。在可能的情况下，还测量了两个椎体（T-6和L-4）的高度和宽度（横径）。虽然可以发现脊柱侧凸患儿的脊柱有变长的趋势，但在这方面特发性脊柱侧凸患儿与对照儿童之间没有显著差异。在女孩中，发现脊柱的青春期生长突增比对照组大约早1年开始，并且脊柱侧凸患儿的脊柱生长似乎停止得更晚。对于13岁以下的女孩，脊柱侧凸患儿的T-6高度和宽度显著大于对照组。在年龄较大的女孩和男孩中，未显示出显著差异。脊柱侧凸男孩和较年轻女孩的L-4高度有增大的趋势，尽管差异无统计学意义。计算了所有患者组中T-6和L-4的高度/宽度指数，在所有测试组中，脊柱侧凸患儿的该指数值更高。脊柱侧凸患儿中T-6的最大高度可能表明这些儿童的胸椎较长。高度/宽度指数的较高值表明，与非脊柱侧凸儿童相比，特发性脊柱侧凸儿童的胸腰椎更细长。
