CAJ | 학술논문

目的比较单胸弯青少年特发性脊柱侧凸(T-AIS)患者与同龄健康青少年脊柱骨盆生长发育模式情况.方法研究对象包括2011年12月至2012年10月就诊的48例女性T-AIS患者(T-AIS组)和48例同龄健康女孩(正常对照组),年龄10～18岁.在站立位全脊柱正位X线片上测量两组研究对象的全脊柱长度及高度(LOS和HOS)、T1～T12胸椎长度及高度(LOT和HOT)、骨盆高度及宽度(HOP和WOP)以及胸廓宽度(WOT),并计算HOS/HOP、LOS/HOP、LOS/LOT、WOT/WOP4组比值.对两组间的测量指标及比值进行独立样本t检验.结果 T-AIS组患者的HOS及HOT均显著小于正常对照组青少年(t=2.060和3.359,P=0.042和0.001),但是其LOS及LOT均显著大于正常对照组青少年(t=-2.364和-1.495,P=0.020和0.043),而两组之间的WOP、HOP及WOT差异均无统计学意义(P＞0.05).此外,正常对照组的LOS/HOP为2.26±0.14,而T-AIS组患者LOS/HOP、LOT/HOP均显著大于正常对照组.T-AIS组患者的LOS/LOT比值与正常对照组相比较为稳定,显示了T-AIS患者胸椎纵向生长速率较腰椎快.结论 T-AIS患者的真实全脊柱长度及胸椎长度均显著大于同龄正常青少年,且胸椎纵向生长速率较腰椎生长速率快;而骨盆的宽度和高度未见明显差异.
목적 비교단흉만청소년특발성척주측철(T-AIS)환자여동령건강청소년척주골분생장발육모식정황.방법 연구대상포괄2011년12월지2012년10월취진적48례녀성T-AIS환자(T-AIS조)화48례동령건강녀해(정상대조조),년령10～18세.재참립위전척주정위X선편상측량량조연구대상적전척주장도급고도(LOS화HOS)、T1～T12흉추장도급고도(LOT화HOT)、골분고도급관도(HOP화WOP)이급흉곽관도(WOT),병계산HOS/HOP、LOS/HOP、LOS/LOT、WOT/WOP4조비치.대량조간적측량지표급비치진행독립양본t검험.결과 T-AIS조환자적HOS급HOT균현저소우정상대조조청소년(t=2.060화3.359,P=0.042화0.001),단시기LOS급LOT균현저대우정상대조조청소년(t=-2.364화-1.495,P=0.020화0.043),이량조지간적WOP、HOP급WOT차이균무통계학의의(P＞0.05).차외,정상대조조적LOS/HOP위2.26±0.14,이T-AIS조환자LOS/HOP、LOT/HOP균현저대우정상대조조.T-AIS조환자적LOS/LOT비치여정상대조조상비교위은정,현시료T-AIS환자흉추종향생장속솔교요추쾌.결론 T-AIS환자적진실전척주장도급흉추장도균현저대우동령정상청소년,차흉추종향생장속솔교요추생장속솔쾌;이골분적관도화고도미견명현차이.
Objective To investigate if the growth patterns of the spine and pelvis are consistent in adolescent idiopathic scoliosis (AIS) patients with single thoracic curves.Methods Forty-eight thoracic adolescent idiopathic scoliosis (T-AIS) female patients and 48 heahhy age-matched adolescents were recruited consecutively between December 2011 and October 2012.Radiographic parameters including height of spine (HOS),length of spine (LOS),height of thoracic spine (HOT),length of thoracic spine (LOT),height of pelvis(HOP),width of pelvis (WOP) and width of thorax (WOT) were measured on the longcassete posteroanterior standing radiographs.In addition,ratios including HOS/HOP,LOS/HOP,HOT/HOP,LOT/HOP,LOS/LOT,WOT/WOP were also calculated.Independent t-test was performed to compare the radiographic parameters and ratios between the two groups.Results Compared to the agematched healthy adolescents,T-AIS patients had a significantly higher LOS and LOT (t =-2.364 and -1.495,P=0.020 and 0.043) and smaller HOS and HOT (t =2.060 and 3.359,P =0.042 and 0.001).Yet,all of HOP,WOP and WOT showed no significant difference between T-AIS patients and healthy adolescents.Similarly,LOS/HOP and LOT/HOP were significantly higher in T-AIS patients as may be expected with an average LOS/HOP of 2.26 ±0.14 in normal controls.In addition,LOS/LOT in normal controls had a trend of increase with age which was different from the stable LOS/LOT in T-AIS patients,indicating an increased growth of thoracic vertebra compared to lumbar vertebra.Conclusions Compared to the age-matched healthy adolescents,T-AIS patients have an abnormal growth characteristics with longer spine.The growth of pelvis and thorax show no significant differences between T-AIS patients and healthy adolescents.