Raso V J, Lou E, Hill D L, Mahood J K, Moreau M J, Durdle N G
Glenrose Rehabilitation Hospital, Edmonton, Alberta, Canada.
J Pediatr Orthop. 1998 Mar-Apr;18(2):222-6.
Trunk images of children with scoliosis were examined to determine features that contribute to the impression of trunk distortion. Twenty subjects with spinal deformity ranging from none to severe were photographed in a relaxed standing position. Seven blinded evaluators subjectively scored their impressions of the trunk appearance, shoulder-height difference, shoulder-angle asymmetry, decompensation, scapula asymmetry, waist crease, waist asymmetry, and pelvic asymmetry. Regression analysis was used with the latter seven features to predict overall impression. The seven measures of the deformity predicted 85% of the overall impression of trunk distortion; scapular asymmetry was the best predictor. Trunk deformity is the most obvious effect of scoliosis to the patients. Objective approaches to the assessment of this important but difficult-to-quantify aspect of idiopathic scoliosis are available and should be used to evaluate treatment outcomes.
对脊柱侧弯儿童的躯干图像进行检查，以确定导致躯干畸形印象的特征。20名脊柱畸形程度从无到严重的受试者在放松站立姿势下被拍照。7名不知情的评估者对他们对躯干外观、肩高差异、肩角不对称、失代偿、肩胛骨不对称、腰部褶皱、腰部不对称和骨盆不对称的印象进行主观评分。使用后七个特征进行回归分析以预测总体印象。这七种畸形测量方法可预测85%的躯干畸形总体印象；肩胛骨不对称是最佳预测指标。躯干畸形是脊柱侧弯对患者最明显的影响。评估特发性脊柱侧弯这一重要但难以量化方面的客观方法是可行的，应用于评估治疗效果。
