Krödel A, Straube A, Angerer M, Fritsch K
Orthopädische Klinik und Poliklinik, Ludwig-Maximilians-Universität Münchne, Klinikum Grosshadern.
Z Orthop Ihre Grenzgeb. 1997 May-Jun;135(3):203-9. doi: 10.1055/s-2008-1039581.
Etiology of idiopathic scoliosis is unknown. In literature a primarily neurogenic disturbance of postural regulation is discussed with subsequent changes of the spine. In the present paper, individual functions of postural regulation in patients with idiopathic scoliosis were examined by neurophysiologic investigations and compared to a normal population.
The body sway of 28 patients was investigated in upright position under various testing conditions by means of a force measuring platform, allowing examination of the efferent part of postural regulation as well as the sensory systems involved. Registration of the eye movements (ENG) made it possible to investigate the function of the vestibulo-cerebellar system. Furthermore the optokinetic capability of scoliotic patients was tested by determination of the subjective visual vertical (SVV).
It turned out that none of the neurophysiologic test procedures showed clearly pathological findings in scoliotic patients as compared to a normal population.
It has not to be considered as probable that idiopathic scoliosis is caused by a disturbance of postural regulation.
特发性脊柱侧凸的病因尚不清楚。文献中讨论了姿势调节的原发性神经源性紊乱以及随后脊柱的变化。在本文中，通过神经生理学研究检查了特发性脊柱侧凸患者姿势调节的个体功能，并与正常人群进行了比较。
通过测力平台在各种测试条件下对28例患者直立位时的身体摆动进行了研究，从而能够检查姿势调节的传出部分以及所涉及的感觉系统。眼动记录（ENG）使得研究前庭小脑系统的功能成为可能。此外，通过测定主观视觉垂直线（SVV）来测试脊柱侧凸患者的视动能力。
结果表明，与正常人群相比，在脊柱侧凸患者中，没有一种神经生理学测试程序显示出明显的病理结果。
特发性脊柱侧凸由姿势调节紊乱引起的可能性不大。
