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神经肌肉疾病中的脊柱侧弯

Scoliosis in neuromuscular disorders.

作者信息

Pecak F, Trontelj J V, Dimitrijevic M R

出版信息

Int Orthop. 1980;3(4):323-8. doi: 10.1007/BF00266029.

DOI:10.1007/BF00266029
PMID:7399774
Abstract

Hundred-seventy patients with the 4 commonest degenerative neuro-muscular disorders (limbgirdle and Duchenne muscular dystrphy, Kugelberg-Welander's spinal muscular atrophy and peroneal muscular atrophy) were screened for scoliosis, which was found in 56%. Of 76 patients in the early stages of their respective disorders (stages 1-6 of Gardner-Medwin and Walton), scoliosis was found in 72%. The incidence of scoliosis was not related to the duration or degree of clinical weakness. Morphologically, scoliosis in these disorders was not found to differ from idiopathic scoliosis. Neither side nor site of the scoliosis were related to the distribution of muscle weakness as determined by manual testing.

摘要

对170例患有4种最常见的退行性神经肌肉疾病(肢带型和杜氏肌营养不良症、库格尔贝格 - 韦兰德脊髓性肌萎缩症和腓骨肌萎缩症)的患者进行了脊柱侧弯筛查,发现脊柱侧弯的发生率为56%。在各自疾病早期阶段(加德纳 - 梅德温和沃尔顿分期的1 - 6期)的76例患者中,脊柱侧弯的发生率为72%。脊柱侧弯的发生率与临床肌无力的持续时间或程度无关。从形态学上看,这些疾病中的脊柱侧弯与特发性脊柱侧弯并无差异。通过手动检查确定,脊柱侧弯的侧别和部位均与肌无力的分布无关。

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2
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