青少年特发性脊柱侧凸症脊柱三维形态结构参数的相关性研究

Correlation analysis of three-dimensional morphological and structural parameters of spine in adolescent idiopathic scoliosis

目的 探讨青少年特发性脊柱侧凸症(AIS)主弯Cobb角(MCC)与矢状位及轴位参数的相关性。方法 回顾2021年5月至2022年5月于该院推拿科就诊的符合AIS纳入标准的患者,收集患者一般情况资料,在正、侧位影像资料上记录MCC、主弯方向(MCD)、顶椎旋转(AVR)、颈椎前凸角(CL)、胸椎后凸角(TK)、腰椎前凸角(LL)、骨盆入射角(PI)、骶骨倾斜角(SS)等参数,运用SPSS25.0软件进行数据分析。结果 共收集符合要求的患者67例,其中男30例,女37例,平均年龄(14.09±2.90)岁,MCD左侧34例、右侧33例,AVR值Ⅰ、Ⅱ、Ⅲ、Ⅳ度患者分别有15、39、12、1例;MCC(16.94±8.54)°,CL(8.15±10.46)°、TK(21.07±9.59)°、LL(47.38±11.51)°、PI(47.41±10.58)°、SS(34.72±8.91)°。其中MCC与性别、AVR及TK间存在相关性(P<0.05),与CL、LL、PI、SS无明显相关性(均P>0.05)。结论 AIS患者MCC与患者性别、AVR及TK间存在明显相关性,冠状位脊柱畸形与矢状位侧凸及轴位AVR存在相关性。

Objective To explore the correlation between the main curvature Cobb angle(MCC) and sagittal and axial parameters in adolescent idiopathic scoliosis(AIS).Methods The patients who met the inclusion criteria of AIS in this Hospital from May 2021 to May 2022 were reviewed as the research objects.The general information of the patients was collected,and the frontal and lateral imaging data such as MCC,main curvature direction(MCD),apex vertebral rotation(AVR),cervical lordosis(CL),thoracic kyphosis(TK),lumbar lordosis(LL),pelvic incidence(PI),and sacral tilt angle(SS) were recorded.The data were analyzed using SPSS25.0 software.Results A total of 67 cases were collected,including 30 men and 37 women,with an average age of(14.09±2.90) years.There were 34 cases on the left side and 33 cases on the right side of MCD.The AVR values of Ⅰ,Ⅱ,Ⅲ and Ⅳ degrees were 15,39,12 and 1 cases respectively;MCC value was(16.94±8.54),CL value was(8.15±10.46),TK value was(21.07±9.59),LL value was(47.38±11.51),PI value was(47.41±10.58),SS value was(34.72±8.91).Among them,there was a correlation between MCC and gender,AVR and TK(P<0.05),and no significant correlation with CL,LL,PI and SS(all P>0.05).Conclusion There is a significant correlation between MCC and gender,AVR and TK in AIS patients.Coronary spinal deformity is correlated with sagittal scoliosis and axial AV.