青少年特发性脊柱侧凸冠状楔形畸形与矢状面脊柱曲度的相关性：回顾性分析-动脉网

Correlation between coronal wedge deformity and sagittal spinal curvature in adolescent idiopathic scoliosis: a retrospective analysis

Nature 等信源发布 2024-11-23 18:54



可切换为仅中文







AbstractThe correlation between the Cobb angle and the sagittal spinal curvature (SSC) in adolescent idiopathic scoliosis (AIS) has been reported in some previous studies, but few studies have reported on the relation of coronal wedge deformity (CWD) with sagittal curvature. This study aims to investigate the correlation between CWD and SSC in AIS patients.

青少年特发性脊柱侧凸（AIS）的Cobb角与矢状脊柱曲率（SSC）之间的相关性已有报道，但关于冠状楔状畸形（CWD）与矢状曲率之间关系的研究很少。本研究旨在探讨AIS患者CWD与SSC之间的相关性。

A retrospective analysis was conducted in 122 AIS patients treated at our hospital from January 2018 to November 2023. Correlation analysis was performed on the Cobb angle, total wedge angle(TW), apical vertebral wedge angle (APW), upper end-vertebral wedge angle (UW), lower end-vertebral wedge angle (LW), total affected structures, average wedge angle(AW), total vertebral wedge angle (TVW), average vertebral wedge angle (AVW), Vertebral Wedge Angle ratio (VWR), total disc wedge angle (TDW), average disc wedge angle (ADW), and disc wedge angle ratio (DWR).

。对Cobb角，总楔角（TW），顶端椎体楔角（APW），上端椎体楔角（UW），下端椎体楔角（LW），总受累结构，平均楔角（AW），总椎体楔角（TVW），平均椎体楔角（AVW），椎体楔角比（VWR），总椎间盘楔角（TDW），平均椎间盘楔角（ADW）和椎间盘楔角比（DWR）进行相关性分析。

Furthermore, out of all cases which underwent lateral spinal radiographs, a correlation analysis between thoracic kyphosis (TK), lumbar lordosis (LL) and CWD was carried out on 102 patients. The Cobb angle exhibited a significant positive correlation with multiple CWD parameters (P < 0.05). TK showed a significant negative correlation with the Cobb angle (r = − 0.221, P = 0.026), TW (r = − 0.199, P = 0.045), AW (r = − 0.262, P = 0.008), TDW (r = − 0.211, P = 0.033), and ADW (r = − 0.278, P = 0.005).

此外，在所有接受脊柱侧位X线检查的病例中，对102例患者进行了胸椎后凸（TK），腰椎前凸（LL）和CWD之间的相关性分析。Cobb角与多个CWD参数呈显着正相关（P<0.05）。。

LL had no significant correlation with TK and other parameters (P > 0.05). In mild and moderate AIS patients, CWD parameters were positively correlated with the Cobb angle and negatively correlated with thoracic SSC. This may indicate that it’s necessary to correct sagittal thoracic curvature when rectifying scoliosis in clinic.

LL与TK和其他参数无显着相关性（P＞0.05）。在轻度和中度AIS患者中，CWD参数与Cobb角呈正相关，与胸部SSC呈负相关。这可能表明在临床矫正脊柱侧凸时有必要矫正胸廓矢状曲度。

This research would not only provide new .

。

IntroductionAdolescent idiopathic scoliosis (AIS) stands as one of the most common spinal deformities among adolescents, with an estimated prevalence ranging from 2 to 3% within this demographic1. Beyond merely affecting posture, AIS can lead to significant complications, including respiratory limitations, chronic pain, and psychological challenges2,3,4,5.

引言青少年特发性脊柱侧凸（AIS）是青少年中最常见的脊柱畸形之一，在该人口统计学中估计患病率为2%至3%1。除了仅仅影响姿势外，AIS还可能导致严重的并发症，包括呼吸受限，慢性疼痛和心理挑战2,3,4,5。

The Cobb angle remains the gold standard for assessing scoliosis severity, but it is essential to recognize that the spine undergoes complex alterations across the transverse, sagittal, and coronal planes as AIS progresses. The previous studies had increasingly focused on coronal plane wedge deformities in AIS patients; however, much of this work tended to examine parameters in isolation, often overlooking the critical relationships between coronal wedge deformity and changes in sagittal physiological curvatures6,7,8.

Cobb角仍然是评估脊柱侧弯严重程度的金标准，但必须认识到，随着AIS的进展，脊柱在横向，矢状面和冠状面上会发生复杂的变化。先前的研究越来越关注AIS患者的冠状面楔状畸形；然而，这项工作大多倾向于孤立地检查参数，往往忽视了冠状楔畸形与矢状生理曲率变化之间的关键关系6,7,8。

Some studies suggested that the Cobb angle may consist of contributions from both vertebrae and disc wedging angles9,10. This deformation may be a crucial factor in the progression of spinal curvature, as it can affect the mechanical properties of the spine, leading to pathological spinal bending. Additionally, the sagittal physiological curvature of the spine plays a vital role in the overall stability and load distribution of the spine11,12.

一些研究表明，Cobb角可能包括椎骨和椎间盘楔入角的贡献9,10。这种变形可能是脊柱弯曲进展的关键因素，因为它会影响脊柱的机械性能，导致病理性脊柱弯曲。此外，脊柱的矢状生理曲率在脊柱的整体稳定性和载荷分布中起着至关重要的作用11,12。

Changes in sagittal curvature may exacerbate spinal deformity and impact the functional abilities of the patient13. Various hypotheses have been proposed regarding the development of scoliosis14,15,16,17,18, each presenting diverse perspectives on the underlying mechanisms and interrelationships among factors such as vertebral rotation, changes in sagittal curvature, coronal scoliosis, and anterior column growth.

矢状面曲率的变化可能会加剧脊柱畸形并影响患者的功能13。关于脊柱侧弯的发展已经提出了各种假设[14,15,16,17,18]，每种假设都对脊柱旋转，矢状曲率变化，冠状脊柱侧弯和前柱生长等因素之间的潜在机制和相互关系提出了不同的观点。

The complexity of the human body often renders these.

人体的复杂性通常会导致这些。

Data availability

数据可用性

The datasets analysed during the current study are available from the corresponding author on reasonable request.

本研究期间分析的数据集可根据合理要求从通讯作者处获得。

ReferencesIllésT. S., Lavaste, F. & Dubousset, J. F. The third dimension of scoliosis: The forgotten axial plane. Orthop. Traumatol. Surg. Res. 105, 351–359 (2019).Article

参考文献。S、，Lavaste，F。＆Dubousset，J.F。脊柱侧弯的第三维：被遗忘的轴平面。骨科。创伤。Surg.Res.105351–359（2019）。文章

PubMed

Google Scholar

谷歌学者

Branthwaite, M. A. Cardiorespiratory consequences of unfused idiopathic scoliosis. Br. J. Dis. Chest. 80, 360–369 (1986).Article

Branthwaite，M.A。未融合特发性脊柱侧凸的心肺后果。Br.J.Dis公司。胸部。80360-369（1986）。文章

PubMed

Google Scholar

谷歌学者

Ascani, E. et al. Natural history of untreated idiopathic scoliosis after skeletal maturity. Spine 11, 784–789 (1986).Article

。脊柱11784-789（1986）。文章

PubMed

Google Scholar

谷歌学者

Dickson, J. H., Mirkovic, S., Noble, P. C., Nalty, T. & Erwin, W. D. Results of operative treatment of idiopathic scoliosis in adults. J. Bone Joint Surg. Am. Vol. 77, 513–523 (1995).Article

Dickson，J.H.，Mirkovic，S.，Noble，P.C.，Nalty，T。＆Erwin，W.D。成人特发性脊柱侧凸手术治疗的结果。J、《骨关节外科杂志》第77513-523卷（1995年）。文章

Google Scholar

谷歌学者

Pehrsson, K., Bake, B., Larsson, S. & Nachemson, A. Lung function in adult idiopathic scoliosis: A 20 year follow up. Thorax 46, 474–478 (1991).Article

。胸部46474-478（1991）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Ding, Q. et al. Contributions of vertebral and disc wedging to the Cobb angle in adolescent idiopathic scoliosis with different curve pattern: Radiographic discrepancy and clinical significance. Chin. J. Spine Spinal Cord. 21, 708–713 (2011). (In Chinese.).

Ding，Q。等人。不同曲线模式的青少年特发性脊柱侧凸椎体和椎间盘楔入对Cobb角的贡献：影像学差异和临床意义。下巴。J、脊柱脊髓。21708-713（2011）。。

Google Scholar

谷歌学者

Wang, S. F. et al. Disc and vertebral wedging and their clinical significance in patients with adolescent idiopathic scoliosis and neurological scoliosis. Chin. J. Spine Spinal Cord. 20, 94–97 (2010). (In Chinese).

Wang，S.F.等。青少年特发性脊柱侧凸和神经性脊柱侧凸患者的椎间盘和椎体楔入及其临床意义。下巴。J、脊柱脊髓。20,94-97（2010）。（中文）。

Google Scholar

谷歌学者

Qian, B. P. et al. Progression of vertebral and disc wedging in immature porcine scoliosis model and its significance. Chin. J. Spine Spinal Cord. 23, 151–155 (2013). (In Chinese).

Qian，B.P.等。未成熟猪脊柱侧凸模型中椎体和椎间盘楔入的进展及其意义。下巴。J、脊柱脊髓。23151-155（2013）。（中文）。

Google Scholar

谷歌学者

Stokes, I. A. Analysis and simulation of progressive adolescent scoliosis by biomechanical growth modulation. Eur. Spine Journal: Official Publication Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res. Soc. 16, 1621–1628 (2007).Article

Stokes，I.A。通过生物力学生长调节分析和模拟进行性青少年脊柱侧凸。欧洲脊柱杂志：官方出版物欧洲脊柱协会欧洲脊柱畸形协会。Cerv。Spine Res.Soc.161621–1628（2007）。文章

Google Scholar

谷歌学者

Stokes, I. A. & Aronsson, D. D. Disc and vertebral wedging in patients with progressive scoliosis. J. Spinal Disord. 14, 317–322 (2001).Article

Stokes，I.A。＆Aronsson，D.D。进行性脊柱侧凸患者的椎间盘和椎体楔入。J、脊柱紊乱。14317-322（2001）。文章

PubMed

Google Scholar

谷歌学者

Abelin, G. K. Sagittal balance of the spine. Orthop. Traumatol. Surg. Res., 107,102769 (2021).Le Huec, J. C., Thompson, W., Mohsinaly, Y., Barrey, C. & Faundez, A. Sagittal balance of the spine. Eur. Spine J. Offi. Pub. Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res.

Abelin，G.K。脊柱的矢状平衡。骨科。创伤。外科研究，107102769（2021）。Le Huec，J.C.，Thompson，W.，Mohsinaly，Y.，Barrey，C。＆Faundez，A。脊柱的矢状平衡。欧洲Spine J.Offi。酒吧。欧洲脊柱协会欧洲脊柱畸形协会欧洲部分。Cerv。脊柱研究。

Soc., 28 (2019).Pasha, S., de Reuver, S., Homans, J. F. & Castelein, R. M. Sagittal curvature of the spine as a predictor of the pediatric spinal deformity development. Spine Deformity. 9, 923–932 (2021).Article .

Soc。，28（2019）。Pasha，S.，de Reuver，S.，Homans，J.F。＆Castelein，R.M。脊柱矢状曲率是小儿脊柱畸形发展的预测指标。脊柱畸形。9923-932（2021）。文章。

PubMed

Google Scholar

谷歌学者

Pialasse, J. P., Descarreaux, M., Mercier, P. & Simoneau, M. Sensory reweighting is altered in adolescent patients with scoliosis: Evidence from a neuromechanical model. Gait Posture. 42, 558–563 (2015).Article

Pialasse，J.P.，Descareaux，M.，Mercier，P。＆Simoneau，M。青少年脊柱侧弯患者的感觉体重改变：来自神经力学模型的证据。步态姿势。42558-563（2015）。文章

PubMed

Google Scholar

谷歌学者

Murakami, K. et al. Olfactomedin-like protein OLFML1 inhibits Hippo signaling and mineralization in osteoblasts. Biochem. Biophys. Res. Commun. 505, 419–425 (2018).Article

Murakami，K。等人。Olfactomedin样蛋白OLFML1抑制成骨细胞中的Hippo信号传导和矿化。生物化学。生物物理。公共资源。505419-425（2018）。文章

PubMed

Google Scholar

谷歌学者

Riddle, H. F. & Roaf, R. Muscle imbalance in the causation of scoliosis. Lancet 268, 1245–1247 (1955).Article

Riddle，H.F。＆Roaf，R。脊柱侧弯病因中的肌肉失衡。柳叶刀2681245-1247（1955）。文章

PubMed

Google Scholar

谷歌学者

Pan, A. X. et al. Assessment of biomechanical properties of paraspinal muscles in adolescent idiopathic scoliosis. Zhonghua Yi Xue Za Zhi. 98, 3485–3489 (2018).PubMed

Pan，A.X.等人。青少年特发性脊柱侧凸椎旁肌生物力学特性的评估。中华医学杂志。983485-3489（2018）。PubMed出版社

Google Scholar

谷歌学者

Oliveira Fernandes, M. & Tourtellotte, W. G. Egr3-dependent muscle spindle stretch receptor intrafusal muscle fiber differentiation and fusimotor innervation homeostasis. J. Neuroscience: Official J. Soc. Neurosci. 35, 5566–5578 (2015).Article

Oliveira Fernandes，M。＆Tourtellotte，W.G。Egr3依赖性肌梭拉伸受体梭内肌纤维分化和梭状运动神经支配稳态。J、神经科学：官方J.Soc。Neurosci。355566–5578（2015）。文章

Google Scholar

谷歌学者

Ceballos-Laita, L. et al. The effectiveness of Schroth method in Cobb angle, quality of life and trunk rotation angle in adolescent idiopathic scoliosis: A systematic review and meta-analysis. Eur. J. Phys. Rehabil. Med. 59, 228–236 (2023).Article

Ceballos-Laita，L.等。Schroth方法在青少年特发性脊柱侧凸Cobb角，生活质量和躯干旋转角方面的有效性：系统评价和荟萃分析。欧洲物理学会。康复医学59228-236（2023）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Romano, M. et al. SEAS (Scientific exercises approach to scoliosis): A modern and effective evidence based approach to physiotherapic specific scoliosis exercises. Scoliosis 10, 3 (2015).Article

Romano，M。et al。SEAS（脊柱侧弯的科学练习方法）：一种现代有效的基于证据的方法，用于物理治疗特定的脊柱侧弯练习。脊柱侧弯10,3（2015）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Büyükturan, Ö., Kaya, M. H., Alkan, H., Büyükturan, B. & Erbahçeci, F. Comparison of the efficacy of Schroth and Lyon exercise treatment techniques in adolescent idiopathic scoliosis: A randomized controlled, assessor and statistician blinded study. Musculoskelet. Sci. Pract. 72, 102952 (2024).Article .

Büyükturan，Ö。，Kaya，M.H.，Alkan，H.，Büyükturan，B。＆Erbahçeci，F。Schroth和Lyon运动治疗技术在青少年特发性脊柱侧凸中的疗效比较：一项随机对照，评估者和统计学家盲法研究。肌肉骨骼。科学。实践。72102952（2024）。文章。

PubMed

Google Scholar

谷歌学者

Negrini, S. et al. 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disorders. 13, 3 (2018).Article

Negrini，S.等人，2016年SOSORT指南：生长期间特发性脊柱侧凸的矫形和康复治疗。脊柱侧弯脊柱疾病。13,3（2018）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Will, R. E., Stokes, I. A., Qiu, X., Walker, M. R. & Sanders, J. O. Cobb angle progression in adolescent scoliosis begins at the intervertebral disc. Spine 34, 2782–2786 (2009).Article

。脊柱342782-2786（2009）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Shi, Z. et al. Pulmonary function after thoracoplasty and posterior correction for thoracic scoliosis patients. Int. J. Surg.. 11, 1007–1009 (2013).Article

Shi，Z.等。胸椎侧弯患者胸廓成形术和后路矫正术后的肺功能。《国际外科杂志》111007-1009（2013）。文章

Google Scholar

谷歌学者

Ma, X. H. The impact of scoliosis on pulmonary function and pulmonary function recovery. J. Clin. Pulmonary Med. 18, 1675–1677 (2013). (In Chinese).

Ma，X.H。脊柱侧弯对肺功能和肺功能恢复的影响。J、临床。肺医学181675-1677（2013）。（中文）。

Google Scholar

谷歌学者

Trobisch, P., Suess, O. & Schwab, F. Idiopathic Scoliosis Deutsches Arzteblatt Int., 107, 875–884 (2010).

Trobisch，P.、Suess，O.和Schwab，F.《德国特发性脊柱侧凸》，107875–884（2010）。

Google Scholar

谷歌学者

Luk, K. D. et al. Clinical effectiveness of school screening for adolescent idiopathic scoliosis: A large population-based retrospective cohort study. Spine 35, 1607–1614 (2010).Article

Luk，K.D.等人。青少年特发性脊柱侧凸学校筛查的临床效果：一项基于人群的大型回顾性队列研究。脊柱351607-1614（2010）。文章

PubMed

Google Scholar

谷歌学者

Bylski-Austrow, D. I., Glos, D. L., Wall, E. J. & Crawford, A. H. Scoliosis vertebral growth plate histomorphometry: Comparisons to controls, growth rates, and compressive stresses. J. Orthop. Research: Official Publication Orthop. Res. Soc. 36, 2450–2459 (2018).Article

Bylski-Austrow，D.I.，Glos，D.L.，Wall，E.J。＆Crawford，A.H。脊柱侧弯椎体生长板组织形态计量学：与对照，生长速率和压缩应力的比较。J、骨科。研究：官方出版物Orthop。第362450-2459号决议（2018年）。文章

Google Scholar

谷歌学者

Bush, P. G., Parisinos, C. A. & Hall, A. C. The osmotic sensitivity of rat growth plate chondrocytes in situ; clarifying the mechanisms of hypertrophy. J. Cell. Physiol. 214, 621–629 (2008).Article

Bush，P.G.，Parisinos，C.A。＆Hall，A.C。原位大鼠生长板软骨细胞的渗透敏感性；阐明肥大的机制。J、细胞。生理学。214621-629（2008）。文章

PubMed

Google Scholar

谷歌学者

Lovett, R. W. A contribution to the study of the mechanics of the spine. Am. J. Anat. 2, 457–462 (1903).Article

。Am.J.Anat。2457-462（1903）。文章

Google Scholar

谷歌学者

Crijns, T. J., Stadhouder, A. & Smit, T. H. Restrained Differential Growth: The initiating event of adolescent idiopathic scoliosis? Spine 42, E726–E732 (2017).Article

Crijns，T.J.，Stadhouder，A。＆Smit，T.H。抑制差异生长：青少年特发性脊柱侧凸的起始事件？脊柱42，E726-E732（2017）。文章

PubMed

Google Scholar

谷歌学者

Roaf, R. Vertebral growth and its mechanical control. J. Bone Joint Surg. Br. Vol. 42-B, 40–59 (1960).Article

Roaf，R。椎体生长及其机械控制。J、骨关节外科杂志，第42-B卷，40-59（1960）。文章

Google Scholar

谷歌学者

Stokes, I. A., Spence, H., Aronsson, D. D. & Kilmer, N. Mechanical modulation of vertebral body growth. Implications for scoliosis progression. Spine 21, 1162–1167 (1996).Article

Stokes，I.A.，Spence，H.，Aronsson，D.D。和Kilmer，N。椎体生长的机械调节。对脊柱侧弯进展的影响。脊柱211162-1167（1996）。文章

PubMed

Google Scholar

谷歌学者

Cheung, W. K. & Cheung, J. P. Y. Contribution of coronal vertebral and IVD wedging to Cobb angle changes in adolescent idiopathic scoliosis during growth. BMC Musculoskelet. Disord. 23, 904 (2022).Article

Cheung，W.K.＆Cheung，J.P.Y.冠状椎体和IVD楔入对青少年特发性脊柱侧凸生长过程中Cobb角变化的贡献。BMC肌肉骨骼。混乱。23904（2022）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Majcher, P., Fatyga, M., Krupski, W. & Tatara, M. The radiological imaging of the vertebral body and intervertebral discs wedging in idiopathic, right-side, thoracic scoliosis as a prognostic factor of the angular progression of spine curve. Ortop. Traumatol. Rehabil. 5, 659–665 (2003).PubMed .

Majcher，P.，Fatyga，M.，Krupski，W。＆Tatara，M。椎体和椎间盘在特发性右侧胸椎侧凸中楔入的放射学成像作为脊柱曲线角度进展的预后因素。奥尔托普。创伤。《康复》，5659-665（2003）。。

Google Scholar

谷歌学者

Satake, K. et al. Analysis of the lowest instrumented vertebra following anterior spinal fusion of thoracolumbar/lumbar adolescent idiopathic scoliosis: Can we predict postoperative disc wedging? Spine 30, 418–426 (2005).Article

Satake，K.等人。胸腰椎/腰椎青少年特发性脊柱侧凸前路脊柱融合术后最低器械椎体的分析：我们能预测术后椎间盘楔入吗？脊柱30418-426（2005）。文章

PubMed

Google Scholar

谷歌学者

Stokes, I. A. & Laible, J. P. Three-dimensional osseo-ligamentous model of the thorax representing initiation of scoliosis by asymmetric growth. J. Biomech. 23, 589–595 (1990).Article

Stokes，I.A。＆Laible，J.P。胸部的三维骨韧带模型，代表不对称生长引起的脊柱侧弯。J、生物技术。23589-595（1990）。文章

PubMed

Google Scholar

谷歌学者

Millner, P. A. & Dickson, R. A. Idiopathic scoliosis: biomechanics and biology. Eur. Spine J. Off. Publ. Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res. Soc. 5, 362–373 (1996).Article

Millner，P.A。和Dickson，R.A。特发性脊柱侧凸：生物力学和生物学。欧洲脊柱杂志出版。欧洲脊柱协会欧洲脊柱畸形协会欧洲部分。Cerv。Spine Res.Soc.5362-373（1996）。文章

Google Scholar

谷歌学者

Dickson, R. A., Lawton, J. O., Archer, I. A. & Butt, W. P. The pathogenesis of idiopathic scoliosis. Biplanar spinal asymmetry. J. Bone Joint Surg. Br. Vol. 66, 8–15 (1984).Article

Dickson，R.A.，Lawton，J.O.，Archer，I.A。和Butt，W.P。特发性脊柱侧凸的发病机制。双平面脊柱不对称。J、《骨关节外科杂志》，第66卷，第8-15页（1984年）。文章

Google Scholar

谷歌学者

Modi, H. N. et al. Differential wedging of vertebral body and intervertebral disc in thoracic and lumbar spine in adolescent idiopathic scoliosis—A cross sectional study in 150 patients. Scoliosis 3, 11 (2008).Article

Modi，H.N.等人。青少年特发性脊柱侧凸患者胸腰椎椎体和椎间盘的差异楔入-150例患者的横断面研究。脊柱侧弯3,11（2008）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Parent, S., Labelle, H., Skalli, W. & de Guise, J. Vertebral wedging characteristic changes in scoliotic spines. Spine 29, E455–E462 (2004).Article

Parent，S.，Labelle，H.，Skalli，W。＆de Guise，J。脊柱侧弯脊柱楔入特征的变化。脊柱29，E455-E462（2004）。文章

PubMed

Google Scholar

谷歌学者

Villemure, I., Aubin, C. E., Grimard, G., Dansereau, J. & Labelle, H. Progression of vertebral and spinal three-dimensional deformities in adolescent idiopathic scoliosis: A longitudinal study. Spine 26, 2244–2250 (2001).Article

Villemure，I.，Aubin，C.E.，Grimard，G.，Dansereau，J。＆Labelle，H。青少年特发性脊柱侧凸椎体和脊柱三维畸形的进展：一项纵向研究。脊柱262244-2250（2001）。文章

PubMed

Google Scholar

谷歌学者

Burwell, R. G. et al. Pathogenesis of idiopathic scoliosis. The Nottingham concept. Acta Orthop. Belg. 58 (Suppl 1), 33–58 (1992).PubMed

Burwell，R.G.等人，《特发性脊柱侧凸的发病机制》。诺丁汉概念。矫形学报。贝尔格。58（补充1），33-58（1992）。PubMed出版社

Google Scholar

谷歌学者

Begon, M., Scherrer, S. A., Coillard, C., Rivard, C. H. & Allard, P. Three-dimensional vertebral wedging and pelvic asymmetries in the early stages of adolescent idiopathic scoliosis. Spine Journal: Official J. North. Am. Spine Soc. 15, 477–486 (2015).Article

Begon，M.，Scherrer，S.A.，Coillard，C.，Rivard，C.H。＆Allard，P。青少年特发性脊柱侧凸早期的三维椎体楔入和骨盆不对称。脊柱杂志：官方J.North。美国脊柱学会15477-486（2015）。文章

Google Scholar

谷歌学者

Zhang, H. Y. et al. Imaging study on thoracic and lumbar physiological curvature in adolescent idiopathic scoliosis. Zhongguo Gu Shang. 37, 26–32 (2024). (In Chinese).PubMed

Zhang，H.Y。等。青少年特发性脊柱侧凸胸腰椎生理曲度的影像学研究。中国古商。37，26-32（2024）。（中文）。PubMed出版社

Google Scholar

谷歌学者

Abelin-Genevois, K., Sassi, D., Verdun, S. & Roussouly, P. Sagittal classification in adolescent idiopathic scoliosis: original description and therapeutic implications. Eur. Spine Journal: Official Publication Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res. Soc.

Abelin Genevois，K.，Sassi，D.，Verdun，S。＆Roussouly，P。青少年特发性脊柱侧凸的矢状分类：原始描述和治疗意义。欧洲脊柱杂志：官方出版物欧洲脊柱协会欧洲脊柱畸形协会。Cerv。脊柱研究Soc。

27, 2192–2202 (2018).Article .

272192-2202（2018）。文章。

Google Scholar

谷歌学者

Newton, P. O., Osborn, E. J., Bastrom, T. P., Doan, J. D. & Reighard, F. G. The 3D Sagittal Profile of thoracic versus lumbar Major curves in adolescent idiopathic scoliosis. Spine Deformity. 7, 60–65 (2019).Article

Newton，P.O.，Osborn，E.J.，Bastrom，T.P.，Doan，J.D。＆Reighard，F.G。青少年特发性脊柱侧凸胸腰椎主弯的3D矢状面轮廓。脊柱畸形。。文章

PubMed

Google Scholar

谷歌学者

Mac-Thiong, J. M., Labelle, H., Berthonnaud, E., Betz, R. R. & Roussouly, P. Sagittal spinopelvic balance in normal children and adolescents. Eur. Spine Journal: Official Publication Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res. Soc. 16, 227–234 (2007).Article .

。欧洲脊柱杂志：官方出版物欧洲脊柱协会欧洲脊柱畸形协会。Cerv。Spine Res.Soc.16227–234（2007）。文章。

Google Scholar

谷歌学者

Stokes, I. A., Sangole, A. P. & Aubin, C. E. Classification of scoliosis deformity three-dimensional spinal shape by cluster analysis. Spine 34, 584–590 (2009).Article

Stokes，I.A.，Sangole，A.P。＆Aubin，C.E。通过聚类分析对脊柱侧弯畸形三维脊柱形状进行分类。脊柱34584-590（2009）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Zhang, C. et al. Analysis of sagittal curvature and its influencing factors in adolescent idiopathic scoliosis. Medicine 100, e26274 (2021).Article

张，C。等。青少年特发性脊柱侧凸矢状面曲率及其影响因素分析。医学100，e26274（2021）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Mac-Thiong, J. M., Labelle, H., Charlebois, M., Huot, M. P. & de Guise, J. A. Sagittal plane analysis of the spine and pelvis in adolescent idiopathic scoliosis according to the coronal curve type. Spine 28, 1404–1409 (2003).Article

Mac Thiong，J.M.，Labelle，H.，Charlebois，M.，Huot，M.P。＆de Guise，J.A。根据冠状曲线类型对青少年特发性脊柱侧凸的脊柱和骨盆进行矢状面分析。脊柱281404-1409（2003）。文章

PubMed

Google Scholar

谷歌学者

Mak, T., Cheung, P. W. H., Zhang, T. & Cheung, J. P. Y. patterns of coronal and sagittal deformities in adolescent idiopathic scoliosis. BMC Musculoskelet. Disord. 22, 44 (2021).Article

Mak，T.，Cheung，P.W.H.，Zhang，T。＆Cheung，J.P.Y。青少年特发性脊柱侧凸的冠状面和矢状面畸形模式。BMC肌肉骨骼。混乱。22，44（2021）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Busscher, I., Ploegmakers, J. J., Verkerke, G. J. & Veldhuizen, A. G. Comparative anatomical dimensions of the complete human and porcine spine. Eur. Spine Journal: Official Publication Eur. Spine Soc. Eur. Spinal Deformity Soc. Eur. Sect. Cerv. Spine Res. Soc. 19, 1104–1114 (2010).Article .

Busscher，I.，Ploegmakers，J.J.，Verkerke，G.J。＆Veldhuizen，A.G。完整人和猪脊柱的比较解剖学尺寸。欧洲脊柱杂志：官方出版物欧洲脊柱协会欧洲脊柱畸形协会。Cerv。Spine Res.Soc.191104–1114（2010）。文章。

Google Scholar

谷歌学者

Eyvazov, K., Samartzis, D. & Cheung, J. P. The association of lumbar curve magnitude and spinal range of motion in adolescent idiopathic scoliosis: A cross-sectional study. BMC Musculoskelet. Disord. 18, 51 (2017).Article

Eyvazov，K.，Samartzis，D。＆Cheung，J.P。青少年特发性脊柱侧凸腰椎曲线幅度与脊柱运动范围的关系：横断面研究。BMC肌肉骨骼。混乱。18,51（2017）。文章

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Okuwaki, S. et al. Associated factors and effects of coronal vertebral wedging angle in thoracic adolescent idiopathic scoliosis. J. Orthop. Science: Official J. Japanese Orthop. Association. 29, 704–710 (2024).Article

。J、骨科。科学：官方J.Japanese Orthop。协会。29704-710（2024）。文章

Google Scholar

谷歌学者

Guo, W., Zhao, Q., Gong, C. & Zhao, P. Mechanical evaluation of range of motion of lumbar vertebrae in patientswith lumbar disc herniation before and after manipulation. Med. J. Air Force, 36, 231-233.3.03.003 (In Chinese) (2020).Gong, C., Xie, Y., Guo, W., Wei, J. & Gui, P. J. Effects of spinal manipulation on the lumbar mobility and symmetry in 613lumbar disc herniation patients.

Guo，W.，Zhao，Q.，Gong，C。＆Zhao，P。腰椎间盘突出症患者手法前后腰椎运动范围的力学评估。《空军医学杂志》，36231-233.3.03.003（中文）（2020）。龚，C.，谢，Y.，郭，W.，魏，J。＆Gui，P.J。脊柱手法对613例腰椎间盘突出症患者腰椎活动度和对称性的影响。

China Dournal Traditional Chin. Med. Pharm. 36, 599–601 (2021). (In Chinese)..

中国传统下巴。医学药学36599-601（2021）。。。

Google Scholar

谷歌学者

Download referencesAuthor informationAuthor notesYi Shen, Feipeng Qin and Yingsen Pan contributed equally to this work and share first authorship.Xiaoming Li and Xiaoming Ying contributed equally and should be considered as joint corresponding authors.Authors and AffiliationsThe 3rd clinical medical college of Zhejiang Chinese Medical University, Hangzhou, ChinaYi Shen, Feipeng Qin & Yingsen PanHangzhou Hospital of Traditional Chinese Medicine, Hangzhou, ChinaHaoyang ZhangZhejiang Chinese Medical University, Hangzhou, ChinaNdalyolusha Tileinge HapulileTuina Department, The 3rd affiliated hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaShuailin Li, Xin Ye, Xiaoming Li & Xiaoming YingAuthorsYi ShenView author publicationsYou can also search for this author in.

下载参考文献作者信息作者笔记沈，秦飞鹏和潘英森对这项工作做出了同样的贡献，并分享了第一作者身份。李晓明和英晓明贡献相等，应被视为联合通讯作者。作者和所属单位浙江中医药大学第三临床医学院，杭州，中国，沉仪，秦飞鹏和英森，杭州，杭州，杭州中医医院，杭州，张浩阳，浙江中医药大学，杭州，杭州，浙江中医药大学第三附属医院，杭州，中国，李树林，叶欣，李晓明和英晓明作者，作者：ShenView作者出版物你也可以在中搜索这位作者。

PubMed Google ScholarFeipeng QinView author publicationsYou can also search for this author in

PubMed谷歌学者Feipeng QinView作者出版物您也可以在

PubMed Google ScholarYingsen PanView author publicationsYou can also search for this author in

PubMed Google ScholarYingsen PanView作者出版物您也可以在

PubMed Google ScholarHaoyang ZhangView author publicationsYou can also search for this author in

PubMed谷歌学者张浩阳查看作者出版物您也可以在

PubMed Google ScholarNdalyolusha Tileinge HapulileView author publicationsYou can also search for this author in

PubMed Google ScholarNdalyolusha Tileinge Hapulleview作者出版物您也可以在

PubMed Google ScholarShuailin LiView author publicationsYou can also search for this author in

PubMed Google ScholarShualin LiView作者出版物您也可以在

PubMed Google ScholarXin YeView author publicationsYou can also search for this author in

PubMed Google ScholarXin YeView作者出版物您也可以在

PubMed Google ScholarXiaoming LiView author publicationsYou can also search for this author in

PubMed谷歌学者晓明LiView作者出版物您也可以在

PubMed Google ScholarXiaoming YingView author publicationsYou can also search for this author in

PubMed谷歌学者晓明YingView作者出版物您也可以在

PubMed Google ScholarContributionsY. X. M linked the cohort and oversaw data management. S. Y analyzed the data and drafted the manuscript. Q. F. P and P. Y. S assisted in editing and proofreading manuscripts, collecting references. All authors participated in the design of the study, interpretation of the results, and approved the final manuscript.Corresponding authorsCorrespondence to.

PubMed谷歌学术贡献。十、 M将队列联系起来并监督数据管理。S、 Y分析了数据并起草了手稿。Q、 F.P和P.Y.S协助编辑和校对手稿，收集参考文献。所有作者都参与了研究的设计，结果的解释，并批准了最终稿件。通讯作者通讯。

Xiaoming Li or Xiaoming Ying.Ethics declarations

李晓明或英晓明。道德宣言

Competing interests

相互竞争的利益

The authors declare no competing interests.

作者声明没有利益冲突。

Informed consent

知情同意书

Due to the retrospective nature of the study, the ethics committee at the 3rd affiliated hospital of Zhejiang Chinese Medical University waived the need of obtaining informed consent.

由于该研究具有回顾性，浙江中医药大学附属第三医院伦理委员会放弃了获得知情同意的需要。

Additional informationPublisher’s noteSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.Rights and permissions

Additional informationPublisher的noteSpringer Nature在已发布地图和机构隶属关系中的管辖权主张方面保持中立。权限和权限

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material.

开放获取本文是根据知识共享署名非商业性NoDerivatives 4.0国际许可证授权的，该许可证允许以任何媒介或格式进行任何非商业性使用，共享，分发和复制，只要您对原始作者和来源给予适当的信任，提供知识共享许可证的链接，并指出您是否修改了许可材料。

You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/..

要查看此许可证的副本，请访问http://creativecommons.org/licenses/by-nc-nd/4.0/..

Reprints and permissionsAbout this articleCite this articleShen, Y., Qin, F., Pan, Y. et al. Correlation between coronal wedge deformity and sagittal spinal curvature in adolescent idiopathic scoliosis: a retrospective analysis.

转载和许可本文引用本文Shen，Y.，Qin，F.，Pan，Y。等人。青少年特发性脊柱侧凸冠状楔畸形与矢状脊柱曲度的相关性：回顾性分析。

Sci Rep 14, 29038 (2024). https://doi.org/10.1038/s41598-024-80704-8Download citationReceived: 29 June 2024Accepted: 21 November 2024Published: 23 November 2024DOI: https://doi.org/10.1038/s41598-024-80704-8Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

Sci Rep 1429038（2024）。https://doi.org/10.1038/s41598-024-80704-8Download引文接收日期：2024年6月29日接受日期：2024年11月21日发布日期：2024年11月23日OI：https://doi.org/10.1038/s41598-024-80704-8Share本文与您共享以下链接的任何人都可以阅读此内容：获取可共享链接对不起，本文目前没有可共享的链接。。

Provided by the Springer Nature SharedIt content-sharing initiative

由Springer Nature SharedIt内容共享计划提供

KeywordsSpineAdolescent idiopathic scoliosisCobb angleWedge deformityThoracic kyphosisLumbar lordosisCorrelation analysis

关键词松果体青少年特发性脊柱侧凸Cobb角楔畸形胸腰椎后凸前凸相关分析

全球产业链接平台

重庆市渝北区金星科技大厦A区5楼512室

联系电话：023-67139735（重庆）

关于我们

联系我们

加入我们

意见反馈

产品服务