中国组织工程研究

中国组织工程研究 ›› 2021, Vol. 25 ›› Issue (27): 4386-4389.doi: 10.12307/2021.201

• 脊柱植入物 spinal implant • 上一篇    下一篇

不同年龄、性别和类型的特发性脊柱侧凸患者轴向躯干旋转角度与Cobb角度的相关性

袁望舒，陈丽霞，沈建雄，余可谊   

  1. 1Department of Physical Medicine & Rehabilitation, 2Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100710, China
  • 收稿日期:2020-09-21 修回日期:2020-10-09 接受日期:2020-11-26 出版日期:2021-09-28 发布日期:2021-04-10
  • 通讯作者: 陈丽霞，硕士，主任医师，中国医学科学院 北京协和医学院 北京协和医院物理医学康复科，北京市 100710 沈建雄，硕士，主任医师，中国医学科学院 北京协和医学院 北京协和医院骨科，北京市 100710
  • 作者简介:袁望舒，女，1984年生，吉林省长春市人， 2012年吉林大学第二临床医学院毕业，硕士，主管技师，主要从事脊柱侧凸的保守治疗研究。

Correlation between axial trunk rotation angle and Cobb angle in different ages, genders, and types of idiopathic scoliosis patients

Yuan Wangshu, Chen Lixia, Shen Jianxiong, Yu Keyi   

  1. 中国医学科学院 北京协和医学院 北京协和医院，1物理医学康复科，2骨科，北京市   100710
  • Received:2020-09-21 Revised:2020-10-09 Accepted:2020-11-26 Online:2021-09-28 Published:2021-04-10
  • Contact: Chen Lixia, Master, Chief physician, Department of Physical Medicine & Rehabilitation, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100710, China Shen Jianxiong, Master, Chief physician, Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100710, China
  • About author:Yuan Wangshu, Master, Technician-in-charge, Department of Physical Medicine & Rehabilitation, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100710, China

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摘要：

文题释义：
轴向躯干旋转角度：受试者站立位，弯腰90°后，利用水平尺测量后背不等高的严重程度，是脊柱侧凸的筛查方法。
特发性脊柱侧凸PUMC分型：是北京协和医院提出的一种特发性脊柱侧凸的手术分型方法。根据顶椎个数的不同，分为3型，每型中再分不同的亚型，共计13个亚型。

背景：目前普遍通过测量轴向躯干旋转(axial trunk rotation，ATR)角度来筛查脊柱侧凸，这种方法是否适用于所有的脊柱侧凸类型尚无定论。
目的：研究不同年龄、性别和类型的特发性脊柱侧凸患者ATR角度与Cobb角度的相关性，为筛查特发性脊柱侧凸患者提供理论基础。
方法：对203例4-18岁特发性脊柱侧凸患者进行Cobb角度与ATR角度的测量，并根据年龄、性别、类型等进行分组，分别计算每组Cobb角度与ATR角度的相关性。
结果与结论：①203例特发性脊柱侧凸患者整体上ATR角度与Cobb角度存在中等程度相关性(r=0.581，P=0.000)；②按年龄分组：4-9岁患者的Cobb角与ATR角不存在相关性(r=0.516，P=0.155)，10-18岁患者的两种角度存在中相关性(r=0.455，P=0.000)；③按类型分组：Ⅰ型单弯患者的ATR角度与Cobb角度存在强相关性(r=0.739)，Ⅱ型双弯患者的两种角度存在中相关性(r=0.431)，而Ⅲ型三弯患者两种角度存在弱相关性(r=0.399)，即随着侧弯个数的增加，ATR角度与Cobb角度的相关性降低；④按性别分组：男性患者的Cobb角度与ATR角度相关性(r=0.601)高于女性患者(r=0.598)。
https://orcid.org/0000-0001-6835-0929 (袁望舒) 

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

关键词: 特发性脊柱侧凸, Cobb角, 轴向躯干旋转角度, 影响因素, 年龄, PUMC分型

Abstract: BACKGROUND: At present, the measurement of axial trunk rotation angle is widely used to screen scoliosis. Whether this method is suitable for all types of scoliosis is still uncertain.  
OBJECTIVE: To study the correlation between axial trunk rotation angle and Cobb angle in different ages, genders, and types of idiopathic scoliosis patients, and provide theoretical basis for screening of idiopathic scoliosis.
METHODS: Totally 203 idiopathic scoliosis patients aged from 4 to 18 years old were measured in Cobb angle and axial trunk rotation angle. According the age, gender and type, 203 subjects were divided into different groups, and the correlation between Cobb angle and axial trunk rotation angle was calculated in each group.  
RESULTS AND CONCLUSION: (1) There was a moderate correlation between axial trunk rotation angle and Cobb angle in 203 patients with idiopathic scoliosis (r=0.581, P=0.000). (2) According to age, there was no correlation between Cobb angle and axial trunk rotation angle in 4-9 years old idiopathic scoliosis patients (r=0.516, P=0.155). There was a moderate correlation between the two angles in patients aged 10-18 years (r=0.455, P=0.000). (3) According to type, there was a strong correlation between the axial trunk rotation angle and Cobb angle in patients with type I single curve (r=0.739), a moderate correlation between the two angles in patients with type II double curve (r=0.431), and a weak correlation between the two angles in patients with type III triple curve (r=0.399). The correlation decreased between axial trunk rotation angle and Cobb angle with the increase of the number of side bends. (4) According to gender, the correlation between Cobb angle and axial trunk rotation angle was higher in male patients (r=0.601) than that in female patients (r=0.598).

Key words: diopathic scoliosis, Cobb angle, axial trunk rotation angle, influencing factors, age, PUMC classification

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