Serdar Şirazi, Ahmed Majid Heydar, Murat Bezer, Mustafa Yüksel
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A spinal deformity was detected in 57 (13%) of 418 pectus excavatum (PE) patients, in 23 (19%) of 117 pectus carinatum (PC) patients, and in all patients with mixed pectus deformity (PE + PC), syndromic deformity and rib anomalies. In the PE group, scoliosis, and kyphosis were observed at 57.9 and 31.6%, respectively. In the PC group, these rates were 43.5 and 47.8%, respectively. Idiopathic scoliosis was observed in 42 (77.7%) and constituted the most common scoliosis subgroup. The main thoracic curvature was the most common curve pattern, which was observed in 15 (35.7%) patients with idiopathic scoliosis.</p><p><strong>Conclusions: </strong>Idiopathic scoliosis with main thoracic curvature is the most common deformity in patients with anterior chest wall deformity. Spinal deformities are more common in male patients with chest deformities. Kyphosis is found in a significant number of PE and PC patients. 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Clinical and radiological examinations were performed to determine spinal deformities. The type and severity of the spinal deformities were evaluated and their relationships with chest wall deformity subtypes were statistically analyzed.</p><p><strong>Results: </strong>Spinal deformities were identified in 93 (16.97%) patients. The patients were subdivided into 71 (76.3%) male and 22 (23.7%) female patients. A spinal deformity was detected in 57 (13%) of 418 pectus excavatum (PE) patients, in 23 (19%) of 117 pectus carinatum (PC) patients, and in all patients with mixed pectus deformity (PE + PC), syndromic deformity and rib anomalies. In the PE group, scoliosis, and kyphosis were observed at 57.9 and 31.6%, respectively. In the PC group, these rates were 43.5 and 47.8%, respectively. Idiopathic scoliosis was observed in 42 (77.7%) and constituted the most common scoliosis subgroup. 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引用次数: 0
摘要
目的：研究不同类型的前胸壁和脊柱畸形之间的关联并评估其特征：本研究共纳入了 548 名前胸壁畸形患者。方法：本研究共纳入 548 例前胸壁畸形患者，通过临床和放射学检查确定脊柱畸形情况。对脊柱畸形的类型和严重程度进行评估，并对其与胸壁畸形亚型的关系进行统计分析：93例（16.97%）患者的脊柱畸形得到确认。其中男性患者 71 例（76.3%），女性患者 22 例（23.7%）。在418名挖空胸（PE）患者中，有57人（13%）发现脊柱畸形；在117名贲门失弛缓（PC）患者中，有23人（19%）发现脊柱畸形；在所有混合贲门畸形（PE + PC）、综合畸形和肋骨异常的患者中，均发现脊柱畸形。在 PE 组中，脊柱侧弯和后凸的发生率分别为 57.9% 和 31.6%。在 PC 组中，这两个比例分别为 43.5%和 47.8%。特发性脊柱侧弯有 42 例（77.7%），是最常见的脊柱侧弯亚组。主胸廓弯曲是最常见的弯曲模式，在 15 名（35.7%）特发性脊柱侧凸患者中观察到：结论：特发性脊柱侧弯伴有主胸廓弯曲是前胸壁畸形患者中最常见的畸形。脊柱畸形在胸部畸形的男性患者中更为常见。相当多的 PE 和 PC 患者会出现脊柱后凸。混合型 PE 和 PC、肋骨异常和综合症患者更容易出现脊柱畸形。
Correlation of anterior chest wall anomalies and spinal deformities: a comprehensive descriptive study.
Purpose: To investigate the association and evaluate the characteristics between different types of anterior chest wall and spinal deformities.
Methods: A total of 548 patients with anterior chest wall deformities were included in this study. Clinical and radiological examinations were performed to determine spinal deformities. The type and severity of the spinal deformities were evaluated and their relationships with chest wall deformity subtypes were statistically analyzed.
Results: Spinal deformities were identified in 93 (16.97%) patients. The patients were subdivided into 71 (76.3%) male and 22 (23.7%) female patients. A spinal deformity was detected in 57 (13%) of 418 pectus excavatum (PE) patients, in 23 (19%) of 117 pectus carinatum (PC) patients, and in all patients with mixed pectus deformity (PE + PC), syndromic deformity and rib anomalies. In the PE group, scoliosis, and kyphosis were observed at 57.9 and 31.6%, respectively. In the PC group, these rates were 43.5 and 47.8%, respectively. Idiopathic scoliosis was observed in 42 (77.7%) and constituted the most common scoliosis subgroup. The main thoracic curvature was the most common curve pattern, which was observed in 15 (35.7%) patients with idiopathic scoliosis.
Conclusions: Idiopathic scoliosis with main thoracic curvature is the most common deformity in patients with anterior chest wall deformity. Spinal deformities are more common in male patients with chest deformities. Kyphosis is found in a significant number of PE and PC patients. Patients with mixed PE and PC, rib anomalies, and syndromic disease are more likely to have spinal deformities.
期刊介绍：
Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.
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