Le Blanc R, Labelle H, Forest F, Poitras B, Rivard C H
Centre de Recherche, Hôpital Sainte-Justine, Université de Montréal, Canada.
Ann Chir. 1995;49(8):762-7.
This retrospective study was conducted to verify the possibility of a relationship between morphological somatotypes and Adolescent Idiopathic Scoliosis (AIS). The sample was composed of 77 adolescent girls presenting Idiopathic Scoliosis. In every case, scoliosis was important enough to necessitate a corrective surgery. The control group (historical type) was taken from an anthropometric study done in 1990 [5]. Morphotypes were evaluated from medical slides with pre-established criteria based on Sheldon's technique [3, 4]. Three somatotype values were obtained: One for ectomorphism, a second for mesomorphism and a third for endomorphism. This classification system is calibrated in a way that the summation of these 3 values necessarily gives 7. AIS patients appear less mesomorphic with a mean value of 1,208 +/- 1.03 than the control group with a mean value of 1,923 +/- 0.89 (Student "t" test: 6,149, p < 0.0001). Based on these results, a relationship between morphological somatotypes and the presence of AIS appears possible. A more elaborate prospective study will be needed to support this hypothesis.
本回顾性研究旨在验证形态体型与青少年特发性脊柱侧凸(AIS)之间存在关联的可能性。样本由77名患有特发性脊柱侧凸的青春期女孩组成。在每种情况下,脊柱侧凸都严重到需要进行矫正手术。对照组(历史类型)取自1990年进行的一项人体测量学研究[5]。根据基于谢尔顿技术的既定标准,从医学幻灯片中评估体型[3,4]。获得了三个体型值:一个是外胚层体型值,第二个是中胚层体型值,第三个是内胚层体型值。该分类系统经过校准,这三个值的总和必定为7。AIS患者的中胚层体型均值为1.208±1.03,低于对照组的均值1.923±0.89(学生t检验:6.149,p<0.0001)。基于这些结果,形态体型与AIS的存在之间似乎存在关联。需要进行更详尽的前瞻性研究来支持这一假设。