Abnormalities of the Spine in Relation to Congenital Upper Limb Deficiencies
Abnormalities of the Spine in Relation to Congenital Upper Limb Deficiencies
复制标题
与先天性上肢缺陷相关的脊柱异常
DOI：
10.1097/01241398-198309000-00010
复制
发表时间：
1983
期刊：
影响因子：
--
通讯作者：
E. Millar
中科院分区：
文献类型：
--
作者：
T. Powers;T. Haher;V. Devlin;D. Spencer;E. Millar
进行了一项回顾性研究，以确定上肢骨骼缺陷患者脊柱异常的发生率。在所研究的患者群体中，脊柱侧弯的发生率为 16%，并且 18% 的人群中存在所有类型的脊柱异常。双侧无畸形患者脊柱侧弯发生率为 100%。单侧无畸形的患者脊柱侧弯的发生率为50%。尺侧半肢畸形和桡侧半肢畸形患者的脊柱侧弯发生率分别为 20% 和 13%。完全性横形半肢畸形和部分横形半肢畸形的脊柱侧凸发生率为 18%，而鳞状体畸形组的发生率为 11%。与一般人群相比，所研究的患者人群脊柱侧弯的发生率有所增加。患有阿米莉亚症的患者脊柱侧弯的发生率特别高。缺陷侧与曲线方向之间没有关系。未发现发病年龄与曲线的进展相关。由于患者排斥支具，支具的效果很差。所有上肢缺陷的患者都需要在整个生长过程中密切观察脊柱侧弯的发展。
A retrospective study was performed to determine the incidence of spinal abnormalities in patients with skeletal defects of the upper extremities. The incidence of scoliosis in the patient population studied was 16%, and spinal abnormalities of all types were present in 18% of the population. Patients with bilateral amelia had a 100% incidence of scoliosis. Those patients with unilateral amelia had a 50% incidence of scoliosis. Patients with ulnar and radial hemimelias had an incidence of scoliosis of 20 and 13%, respectively. The transverse complete and partial hemimelias had an 18% incidence of scoliosis and the phocomelic group had an incidence of 11%. The patient population studied had an increased incidence of scoliosis compared with the general population. The patients with amelia had a particularly high incidence of scoliosis. There was no relationship between the side of the deficiency and the direction of the curve. The age of onset was not found to be related to the progression of the curve. The results of bracing were poor, due to patient rejection of the brace. All patients with upper limb deficiencies warrant close observation throughout growth for the development of scoliosis.