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首页> 外文期刊>Scoliosis >Progression of idiopathic thoracic or thoracolumbar scoliosis and pelvic obliquity in adolescent patients with and without limb length discrepancy
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Progression of idiopathic thoracic or thoracolumbar scoliosis and pelvic obliquity in adolescent patients with and without limb length discrepancy

机译:有和没有肢体长度差异的青少年患者特发性胸廓或胸腰段脊柱侧弯和盆腔倾斜的进展

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摘要

Both limb length inequality and scoliosis are associated with pelvic obliquity. This is an observational study of adolescents with growth potential presenting for evaluation of thoracic or thoracolumbar idiopathic scoliosis at an outpatient pediatric orthopedic clinic. Patients were evaluated for limb length discrepancy (LLD) (using bilateral femoral head height difference), pelvic obliquity (using bilateral iliac crest height difference and sacral takeoff angle), and scoliotic curve (using Cobb angle and rotation) on full spine standing radiographs. The same radiographic parameters were measured at a follow-up visit at least 2?years later. Seventy-three consecutive patients with a mean (SD) age of 13.3 (0.2) years at initial examination were included in the study. Scoliosis (major curve Cobb angle ≥?10°) was confirmed in all 73 patients, pelvic obliquity (iliac crest height difference ?1?cm or sacral takeoff angle ?5°) appeared in 23 (31.5%) patients with scoliosis, and LLD (?1?cm femoral head height difference) was identified in 6 (8.2%) patients with scoliosis and pelvic obliquity. At a subsequent visit, a mean of 2.8 (range 2–5.8) years later, no significant change (p??0.05) in limb length inequality was observed but a statistically significant increase (p??0.05) in scoliotic and pelvic deformity parameters was found. In adolescent patient population with thoracic or thoracolumbar scoliosis, the anisomelia remains stable with growth but both the scoliotic deformity and pelvic obliquity progress.
机译:四肢长度不均和脊柱侧弯均与骨盆倾斜有关。这是一项对有成长潜力的青少年的观察性研究,旨在在门诊儿科骨科诊所评估胸廓或胸腰段特发性脊柱侧凸。在全脊柱站立X线片上评估患者的肢长差异(LLD)(使用双侧股骨头高度差),骨盆倾斜度(使用双侧峰高度差和骨起飞角)以及脊柱侧弯曲线(使用Cobb角和旋转度)。在至少2年后的一次随访中测量了相同的射线照相参数。该研究纳入了73名连续初次检查时平均(SD)年龄为13.3(0.2)岁的患者。在所有73例脊柱侧弯患者中均确认到脊柱侧弯(主曲线Cobb角≥10°),骨盆倾斜(ilia高度差> 1?cm或骨起飞角> 5°)出现在23名患者中(31.5%),在6例(8.2%)脊柱侧凸和骨盆倾斜患者中发现了LLD(≥1?cm股骨头高度差异)。在随后的随访中,平均2.8年(2-5.8年)后,未观察到肢体长度不均的显着变化(p?>?0.05),但脊柱侧凸和骨盆统计上的显着增加(p?<?0.05)找到了畸形参数。在患有胸廓或胸腰段脊柱侧弯的青春期患者人群中,无核小体随着生长而保持稳定,但是脊柱侧弯畸形和骨盆倾斜都在发展。

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