期刊文献+

青少年特发性脊柱侧凸患者脊柱柔韧性的影响因素 被引量:8

The influencing factors of curve flexibility in adolescent idiopathic scoliosis
原文传递
导出
摘要 目的:探讨青少年特发性脊柱侧凸(adolescent idiopathic scoliosis,AIS)患者脊柱柔韧性的可能影响因素。方法:选取2006年12月~2008年4月在我院脊柱外科手术治疗的204例AIS患者,男性36例,女性168例,平均年龄15.0岁;平均Cobb角50.1°;平均Risser征3.4度;主弯跨度平均6.8个椎体;主弯顶椎旋转度平均2.0度。摄站立位全脊柱正侧位及仰卧左右侧屈位X线片,计算主弯柔韧性。采用相关分析研究各临床指标与主弯柔韧性的相关性。结果:女性AIS患者的脊柱柔韧性明显高于男性(P<0.05);胸腰弯组和腰弯组AIS患者的脊柱柔韧性显著大于胸弯组(P<0.05),胸腰弯和腰弯组之间无显著性差异(P>0.05)。女性AIS患者中的年龄及主弯Cobb角(站立位与侧屈位)均与脊柱柔韧性显著负相关(P<0.05),且胸弯女性AIS患者的月经初潮至手术时间及顶椎旋转度也与脊柱柔韧性显著负相关(P<0.05)。男性胸弯AIS患者中侧屈位主弯Cobb角、胸腰弯/腰弯组中主弯Cobb角(站立位与侧屈位)均与脊柱柔韧性显著负相关(P<0.05)。主弯跨度及Risser征与脊柱柔韧性均无明显相关性(P>0.05)。结论:女性AIS患者脊柱柔韧性受年龄、月经初潮至手术时间、主弯Cobb角(站立位与侧屈位)、弯型及顶椎旋转度等因素影响;男性AIS患者的脊柱侧凸柔韧性主要受主弯Cobb角及弯型影响。 Objective:To assess the curve flexibility in adolescent idiopathic scoliosis(AIS) and investigate its influencing factors.Method:This study included 204 patients with AIS (36 males,168 females),selected from December 2006 to April 2008,with mean age 15.0 years old,mean Cobb angle 50.1°,mean Risser sign 3.4,mean main curve span 6.8 vertebrae and mean apical rotation 2.0°.Preoperative radiographs included a standing posteroanterior film and supine maximal voluntary side bending films of the spine.The relationships between these clinical index and curve flexibility were assessed using correlation analysis.Result:The curve flexibility was significantly higher in female AIS patients than the males (P〈0.05).Furthermore,the patients with thoracolumbar and lumbar scoliosis had significantly better curve flexibility compare to thoracic scoliosis (P〈0.05).However,tbere was no significantly difference in curve flexibility of AIS patients between thoraeolumbar and lumbar AIS patients(P〉0.05).Correlation analysis showed that Cobb angle and age were significant predictors of curve flexibility in the group of AIS girls.When menarche age and apical vertebral rotation were highly correlated with curve flexibility in AIS female patients with thoracic curve.Moreover,significant negative correlation were observed between the side bending Cobb angle in thoracic AIS boys,and the major Cobb angle measured on posteroanterior and lateral-bending radiographs in thoracolumbar and lumbar AIS boys and curve flexibility.There was no significant correlation between Risser sign,main curve span and curve flexibility.Conclusion:Cobb angle,age,menarche age,apical vertebral rotation,and curve location are useful predictors of curve flexibility in AIS girls.In addition ,correlation analysis shows that Cobb angle and curve location are the only significant predictors of flexibility in AIS boys.
出处 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2009年第12期882-886,共5页 Chinese Journal of Spine and Spinal Cord
基金 江苏省自然科学基金项目(编号:BK2007003)
关键词 青少年特发性脊柱侧凸 脊柱柔韧性 影响因素 Adolescent idiopathic scoliosis Curve flexibility Influencing factors
  • 相关文献

参考文献22

  • 1邱勇,朱丽华,宋知非,骆东山.脊柱侧凸的临床病因学分类研究[J].中华骨科杂志,2000,20(5):265-268. 被引量:97
  • 2Armstrong GW,Livermore NB,Suzuki N,et al.Nonstandard vertebral rotation in scoliosis screening patients:its prevalence and relation to the clinical deformity [J].Spine,1982,7 (1): 50-54.
  • 3Vedantam R,Lenke LG, Bridwell KH, et al. Comparison of push-prone and lateral-bending radiographs for predicting postoperative coronal alignment in the thoracolumbar and lumbar scoliotie eurves[J].Spine,2000,25( 1 ) :76-81.
  • 4Cheung KM,Luk KD. Prediction of correction of scoliosis with use of the fulcrum-bending radiograph [J].J Bone Joint Surg Am, 1997,79(8) : 1144-1150.
  • 5Polly DW, Sturm PF. Traction versus supine side bending: which technique best determines curve flexibility [J]? Spine, 1998,23(7) : 804-808.
  • 6Hamzaoglu A,Talu U,Tezer M,et al.Assessment of curve flexibility in adolescent idiopathic scoliosis[J].Spine,2005,30(14): 1637-1642.
  • 7Lenke LG,Betz RR,Harms J,et al. Adolescent idiopathic scoliosis:a new classification to determine extent of spinal arthrodesis[J].J Bone Joint Surg Am,2001,83(8):1169-1181.
  • 8King HA,Moe JH,Bradford DS,et al. The selection of fusion levels in thoracic idiopathic scoliosis [J].J Bone Joint Surg Am, 1983,65(9) : 1302-1313.
  • 9费琦,王以朋,邱贵兴,赵宇,沈建雄,仉建国,赵丽娟,尹若峰,王乃国.青少年特发性脊柱侧凸术前柔韧性评价方法比较研究[J].中华医学杂志,2007,87(35):2484-2488. 被引量:6
  • 10俞杨,邱勇,李世怀,朱丽华,王斌,吕锦瑜,朱泽章.支点弯曲位X线片预测脊柱侧凸三维矫形效果的价值[J].中国脊柱脊髓杂志,2003,13(5):272-275. 被引量:13

二级参考文献16

  • 1赵宇,邱贵兴,沈建雄,金今,赵宏.脊柱侧凸矫形预测方法评价(英文)[J].中国临床康复,2004,8(26):5692-5694. 被引量:2
  • 2史亚民,侯树勋,王予彬,刘汝落,吴闻文,姚长海,于红,商卫林.脊柱侧弯矫正术后金属内植物断裂原因分析[J].中华骨科杂志,1996,16(2):87-90. 被引量:13
  • 3赵栋,邱贵兴,王以朋,仉建国,沈建雄,吴志宏.胸腰段/腰段特发性脊柱侧凸前路术后椎间角分析[J].中华医学杂志,2007,87(1):32-36. 被引量:2
  • 4Bridwell KH DeWald RL.The Textbook of Spinal Surgery.2nd[M].北京:人民卫生出版社,2000.622.
  • 5Cheung K,Luk K.Predicfion of correction of scoliosis with use of the fulcrum bending radiograph[J]. J Bone Joint Surg(Am),1997,79:1144-1150.
  • 6Luk K,Cheung K,Leong J.Assessment of scoliosis correction in relation to flexibility using the fulcrum bending correction index[J].Spine, 1998,23:2302-2307.
  • 7Aronsson D,Stokes K, Ronchetfi P,et al. Surgical correction of vertebral axial rotation in adolescent idiopathic scoliosis: prediction by lateral bending films[J]J Spinal Disord,1996,9:214-219.
  • 8Vedantam R,Lenke L, Bridwell K, et al. Comparison of pushprone and lateral-bending radiographs for predicting postoperative coronal alignment in thoracolumbar and lumbar scoliotic curvel[J].Spine,2000,25:76-81.
  • 9Klepps S,Lenke L, Bridwell K, et al. Prospective comparison of flexibility radiographs in adlescent idiopathic soalioaia[J].Spine,2001,26:E74-79.
  • 10Polly D,Sturm P. Which techniqie best determines cure flexibility?Traction versus supine side bending[J].Spine,1998,23:804-808.

共引文献112

同被引文献50

引证文献8

二级引证文献93

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部