文章摘要
鲁德志,王金武,许金霞,王彩萍,王孝文.特发性脊柱侧弯患者躯干倾斜角与脊柱Cobb角、冠状面平衡的相关性研究[J].中国康复,2021,36(1):3-7
特发性脊柱侧弯患者躯干倾斜角与脊柱Cobb角、冠状面平衡的相关性研究
Correlation of trunk inclination angle with Cobb angle and coronal plane balance in idiopathic scoliosis
  
DOI:
中文关键词: 特发性脊柱侧弯  躯干倾斜角  脊柱冠状面平衡  Cobb角
英文关键词: idiopathic scoliosis  angle of trunk inclination  coronal plane balance of spine  Cobb angle
基金项目:国家科技部重点研发计划项目“老年全周期康复技术体系与信息化管理研究”(2018YFC2002300);国家科技部重点研发计划项目“假肢矫形器个性化设计与增材制造应用示范”(2018YFB1107000);上海交通大学医学院附属第九人民医院临床研究型MDT项目“基于3D打印康复辅具的单髁性膝骨关节炎及青少年脊柱侧弯的多学科诊疗”(201914);山东省大学生创新创业训练计划项目“潍坊市青少年脊柱侧凸筛查与康复治疗”(S201910438021S);潍坊医学院大学生科技创新基金项目“潍坊市青少年脊柱侧凸筛查与康复治疗”(KX2019058)
作者单位
鲁德志 潍坊医学院康复医学院山东 潍坊 261053 
王金武 上海市骨科内植物重点实验室上海交通大学医学院附属第九人民医院骨科上海 200011 
许金霞 潍坊医学院康复医学院山东 潍坊 261053 
王彩萍 上海交通大学生物医学工程学院上海 200011 
王孝文 潍坊医学院康复医学院山东 潍坊 261053 
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中文摘要:
  目的:研究单胸腰弯特发性脊柱侧弯患者的躯干倾斜角与脊柱Cobb角、冠状面平衡的相关性,为明确脊柱形变与躯干外观畸形的关系提供理论基础。方法:在前期的脊柱侧弯筛查中,选取符合要求的患者40例,其中男性5例,女性35例。使用Scoliometer测量患者的躯干倾斜角(ATI);选取患者近一个月的脊柱全长X光片,测量Cobb角、C7椎体垂直线与骶骨中垂线之间的距离(C7PL-CSVL)、顶椎偏离骶骨中垂线的距离(AVT),并分析ATI与Cobb角、C7PL-CSVL和AVT之间的相关性。结果:ATI角与Cobb角之间有相关性(r=0.702,P<0.01),ATI角的增加可表示Cobb角的增加,此相关性适用于单胸腰弯AIS患者;ATI角与C7PL-CSVL间的差异无统计学意义(r=0.294,P>0.05);ATI角与AVT之间有相关性(r=0.499,P<0.01)。结论:在单胸腰弯AIS患者中,躯干的外观畸形程度可以反映脊柱畸形的程度;在AIS患者的诊治过程中,可将ATI角作为评估指标来量化与监测躯干外观畸形程度。
英文摘要:
  Objective:To study the correlation of trunk inclination angle (ATI) with Cobb angle and coronal plane balance in patients with idiopathic scoliosis of single thoracic and lumbar spine, so as to provide theoretical basis for clarifying the relationship between spinal deformation and trunk deformity. Methods: In the early stage of scoliosis screening, 40 patients who met the requirements were selected, including 5 males and 35 females. Scoliometer was used to measure the ATI of the patients. On the spine X-ray films performed less than one month ahead of the study, the Cobb angle, offset between central sacral vertical line (CSVL) and C7 vertebra plumb line (C7PL) (C7PL-CSVL), and apex vertebral translocation (AVT) were measured, and the correlation between ATI and Cobb angle, and between C7PL-CSVL and AVT was analyzed. Results: It was found that there was a significant correlation between ATI angle and Cobb angle (r=0.702, P=0.000), and the increase of ATI angle could indicate the increase of Cobb angle. This correlation was applicable to patients with AIS with single thoracic lumbar curvature. There was no significant difference between ATI angle and C7PL-CSVL (r=0.294, P=0.065). There was a correlation between ATI angle and AVT (r=0.499, P=0.001). The ATI angle was related to the partial imbalance of the coronal plane of the spine. Conclusion: In patients with single thoracolumbar AIS, the apparent deformity of the trunk can reflect the deformity of the spine. In the diagnosis and treatment of AIS patients, ATI angle can be used as an evaluation index to quantify and monitor the deformity of trunk appearance.
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