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[特发性脊柱侧凸中脊柱和胸廓畸形的病理力学]

[Pathomechanics of spinal and rib cage deformity in idiopathic scoliosis].

作者信息

Nowak R, Tokarowski A, Dec J, Wójcik K, Wojciechowski P

机构信息

Katedry i Kliniki Ortopedii Slaskiej AM.

出版信息

Chir Narzadow Ruchu Ortop Pol. 1997;62(3):211-7.

PMID:9377967
Abstract

Idiopathic scoliosis is a triplanar deformity associated with a rib hump. The quantitative assessment of the principal elements of spinal and rib cage deformity based on the chosen parameters measured on a-p radiographs and CT scans was done in a group of 89 children with idiopathic scoliosis. The average Cobb angle was 63 degrees. In regression and correlation analysis the statistically significant correlation among spinal lateral curve, axial rotation and kyphosis/lordosis index was found. Significant correlation between the elements of spinal deformity and the size of the rib hump were also found. The rib cage may play an important role in the pathogenesis of idiopathic scoliosis.

摘要

特发性脊柱侧凸是一种伴有肋骨隆起的三平面畸形。对一组89例特发性脊柱侧凸患儿,基于前后位X线片和CT扫描所测量的选定参数,对脊柱和胸廓畸形的主要要素进行了定量评估。平均Cobb角为63度。在回归和相关性分析中,发现脊柱侧凸、轴向旋转和后凸/前凸指数之间存在统计学显著相关性。还发现脊柱畸形要素与肋骨隆起大小之间存在显著相关性。胸廓可能在特发性脊柱侧凸的发病机制中起重要作用。

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