青少年特发性脊柱侧凸:体重增加与支架治疗效果降低有关。

Adam Margalit, Krishna V Suresh, Daniel Badin, R Jay Lee, Paul D Sponseller
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引用次数: 0

摘要

对于青少年特发性脊柱侧弯症(AIS)患者来说,支撑治疗可减少手术干预的需要。然而,对不同体重指数(BMI)的矫治效果研究不足。作者试图确定体重指数与矫形效果的关系。作者对 104 名 AIS 患者进行了回顾性队列研究。研究人员收集了初始瑞瑟评分、每天支具使用时数、BMI 百分位数以及支具使用前后的曲线幅度。两组患者佩戴矫形器的年数和发病时的主要曲线幅度没有明显差异。总体而言,在矫形结束时,29%(25/87)体重不足/正常体重患者和 59%(10/17)超重/肥胖患者的曲线≥45 度(P = 0.016)。与体重不足/正常体重患者相比,超重/肥胖患者在支架术后出现≥45度曲线的几率是正常体重患者的3.5倍(95% 置信区间:1.2-10.3,p = 0.021)。上覆脂肪组织的增加可能会降低脊柱矫直所需的矫正力。(外科骨科进展杂志》33(1):029-032,2024 年)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adolescent Idiopathic Scoliosis: Increased Body Mass Associated with Decreased Bracing Outcomes.

Bracing reduces the need for surgical intervention in patients with adolescent idiopathic scoliosis (AIS). However, bracing outcomes with variable body mass index (BMI) are understudied. The authors sought to determine the association of BMI with bracing outcomes. The authors performed a retrospective cohort study of 104 patients presenting with AIS. Initial Risser score, hours of bracing per day, BMI percentile, and curve magnitude pre- and postbracing were collected. There was no detectable difference between years of brace wear or primary curve magnitude at time of presentation between both groups. Overall, 29% (25/87) of underweight/normal weight patients and 59% (10/17) of overweight/obese patients had curves ≥ 45 degrees at the end of bracing (p = 0.016). Odds of having a curve ≥ 45 degrees after bracing were 3.5 (95% confidence interval: 1.2 to 10.3, p = 0.021) times higher for overweight/obese patients compared with underweight/normal weight patients. Increased overlying adipose tissue may reduce the corrective forces required to straighten the spine. (Journal of Surgical Orthopaedic Advances 33(1):029-032, 2024).

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