Carpintero P, Entrenas R, Gonzalez I, Garcia E, Mesa M
University of Cordoba, Spain.
Spine (Phila Pa 1976). 1994 Jun 1;19(11):1260-3. doi: 10.1097/00007632-199405310-00012.
The incidence of pes cavus and scoliosis was studied in three groups of patients. Group A contained 130 patients with idiopathic scoliosis, Group C contained 210 patients with idiopathic pes cavus, and Group B (control) contained 200 patients of similar age.
To investigate the joint presentation of pes cavus and idiopathic scoliosis, because both deformities may share a common etiology linked to muscle imbalance.
Sixty five percent of Group A patients (85 of 130) had an abnormally high plantar arch, compared to only 9.5% (19 of 200) of Group B control subjects. Nine percent (20 of 210) of the patients in Group C had scoliosis curves, compared to only four patients in Group B.
Radiographs were taken to determine the type of scoliosis curve, its location, and its magnitude, and to identify the incidence of spina bifida occulta in the three groups. The incidence and degree of pes cavus were established by means of foot prints. Statistical analyses were performed on all results.
A statistically significant relationship (P < 0.01) was found for the incidence of pes cavus between Group A (scoliosis) and Group B (control), and for the incidence of scoliosis between Group C (pes cavus) and Group B (control). No statistical significance was observed for the other relationships investigated (sex, curve location, magnitude, spina bifida).
There was a significant correlation between scoliosis and pes cavus--spina bifida was not an etiologic factor. Therefore, in certain patients where scoliosis and pes cavus present jointly, deformity may be secondary to altered balance or to disorders of the central nervous system.
对三组患者进行高弓足和脊柱侧弯发病率的研究。A组包含130例特发性脊柱侧弯患者，C组包含210例特发性高弓足患者，B组（对照组）包含200例年龄相仿的患者。
研究高弓足与特发性脊柱侧弯的联合表现，因为这两种畸形可能有与肌肉失衡相关的共同病因。
A组65%的患者（130例中的85例）足底弓异常高，相比之下，B组对照组中只有9.5%（200例中的19例）有此情况。C组9%（210例中的20例）的患者有脊柱侧弯，而B组只有4例。
拍摄X线片以确定脊柱侧弯的类型、位置和程度，并确定三组中隐性脊柱裂的发病率。通过脚印确定高弓足的发病率和程度。对所有结果进行统计分析。
发现A组（脊柱侧弯）和B组（对照组）之间高弓足发病率存在统计学显著关系（P<0.01），C组（高弓足）和B组（对照组）之间脊柱侧弯发病率存在统计学显著关系。在所研究的其他关系（性别、侧弯位置、程度、隐性脊柱裂）中未观察到统计学显著性。
脊柱侧弯与高弓足之间存在显著相关性——隐性脊柱裂不是病因。因此，在某些同时出现脊柱侧弯和高弓足的患者中，畸形可能继发于平衡改变或中枢神经系统疾病。
