Nissinen M, Heliövaara M, Seitsamo J, Poussa M
Laakso Hospital, Helsinki, Finland.
Spine (Phila Pa 1976). 1993 Jan;18(1):8-13. doi: 10.1097/00007632-199301000-00002.
Several anthropometric measurements were studied for their prediction of scoliosis in 896 children (430 girls and 466 boys) who were free from scoliosis at entry. The children were examined annually from the average age of 10.8 to 13.8 years to follow up their trunk asymmetry, posture, and growth. Scoliosis developed in 24 boys and 41 girls (Cobb angle > or = 10 degrees in a posteroanterior standing radiograph) during the 3 years. In both girls and boys, trunk asymmetry measured by the forward bending test was found to be the most powerful determinant of the incidence of scoliosis. In the whole cohort the adjusted odds ratio was 1.61 and its 95% confidence interval was 1.42-1.82 per one millimeter increase in trunk hump. Using spinal pantography the degree of thoracic kyphosis in girls (odds ratio = 1.05, 95% confidence interval = 1.01-1.09, per one degree) and the degree of lumbar lordosis in boys (odds ratio = 1.07, 95% confidence interval = 1.01-1.13, per one degree) were significant predictors of future scoliosis. In the children both sexes who eventually had scoliosis, body height, sitting height, and growth of sitting height were greater than in other children, but these factors carried no statistical significance in the logistic analyses. There were differences between the prescoliotic girls and other girls in both mean age (11.8 vs 12.1 years, P = 0.02) and value (5.5 cm vs 6.1 cm/yr, P = 0.08) of peak sitting height velocity.(ABSTRACT TRUNCATED AT 250 WORDS)
对896名儿童（430名女孩和466名男孩）进行了多项人体测量学指标研究，以预测其脊柱侧弯情况，这些儿童在入组时均无脊柱侧弯。从平均年龄10.8岁至13.8岁，每年对这些儿童进行检查，以跟踪其躯干不对称性、姿势和生长情况。在3年期间，24名男孩和41名女孩出现了脊柱侧弯（在后前位站立位X线片上Cobb角≥10度）。在女孩和男孩中，通过前屈试验测量的躯干不对称性被发现是脊柱侧弯发生率的最有力决定因素。在整个队列中，躯干隆起每增加1毫米，调整后的优势比为1.61，其95%置信区间为1.42 - 1.82。使用脊柱全长摄影，女孩的胸椎后凸程度（优势比 = 1.05，95%置信区间 = 1.01 - 1.09，每增加1度）和男孩的腰椎前凸程度（优势比 = 1.07，95%置信区间 = 1.01 - 1.13，每增加1度）是未来脊柱侧弯的显著预测因素。在最终发生脊柱侧弯的儿童中，无论男女，其身高、坐高以及坐高增长均高于其他儿童，但在逻辑分析中这些因素无统计学意义。脊柱侧弯前期女孩与其他女孩在平均年龄（11.8岁对12.1岁，P = 0.02）和坐高峰值速度值（5.5厘米/年对6.1厘米/年，P = 0.08）方面存在差异。（摘要截短至250字）
