脊柱侧凸X线成像评估的研究进展

The research progress of radiographic assessments for patients with scoliosis

脊柱侧凸是一种复杂的脊柱三维畸形。X线成像是脊柱侧凸诊断与评估的重要方法,能够直接测量或间接反映冠状面、水平面和矢状面的脊柱三维畸形特征,预测侧凸进展及治疗效果。三维立体X线成像技术的应用,推动了脊柱侧凸三维影像学评估的发展。该文对脊柱侧凸X线成像的评估方法、测量信度与效度、三维立体X线成像技术进行综述,总结X线成像评估脊柱侧凸的规律,为脊柱侧凸诊断与评估提供重要依据。

Scoliosis is a complex three-dimensional spinal deformity, characterized by lateral curvature and vertebral rotation. Radiology plays important roles in the assessments of lateral curvature and vertebral rotation of the patients with scoliosis, as well as the prediction of progression and treatment outcomes of scoliosis. The reliable and validity of radiological assessments have been proved in the coronal, transverse, and sagittal planes of scoliotic spine. With the application of the stereoradiography, three dimensional nature of the scoliosis has been disclosed. This review aims to summarize the radiological methods for the assessments of scoliotic spine, the reliability and validity of each method, as well as the stereoradiography, providing the basis for accurate diagnosis and assessments for the patients with scoliosis.