{"title":"Spinal sagittal and coronal morphology characteristics in children with short stature.","authors":"Tian-Hao Wu, Lin-Lin Chen, Jin-Xu Wen, Shu-Man Han, Zhi-Wei Zhong, Zhe Guo, Lei Cao, Hui-Zhao Wu, Bao-Hai Yu, Bu-Lang Gao, Wen-Juan Wu, Ji-Cun Liu","doi":"10.21037/qims-24-992","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The characteristics of total sagittal and coronal plane parameters in children with short stature (SS) and the correlations between these parameters are currently unknown. This case-control study sought to retrospectively investigate the characteristics of total sagittal and coronal plane parameters in children with SS and examine the correlations between these parameters.</p><p><strong>Methods: </strong>The data of children aged 3-15 years with SS and normal heights were collected, and the children were allocated to the observation and control groups, respectively. The following parameters were analyzed: coronal Cobb angle, cervical lordosis (CL) angle, T1 slope (T1S), thoracic kyphosis (TK) angle, lumbar lordosis (LL) angle, sacral inclination angle, pelvic inclination angle, pelvic incidence angle, cervical sagittal axis, spinal sagittal axis, trunk pelvic angle (TPA), and spino-sacral angle (SSA).</p><p><strong>Results: </strong>In total, 41 children with SS were enrolled in this study, and 80 age- and sex-matched children with normal heights were included as the controls. The CL angle, T1S, and TPA were significantly greater (P<0.050) in the children with SS than those with normal heights. The children with SS were further divided into group A with CL (a positive CL angle) and group B without CL (a negative CL angle), while the children with normal heights were further divided into group A' with CL and group B' without CL. The CL angle, T1S, and TK angle were significantly greater (P<0.05), but the Cobb angle and spinal sagittal axis were significantly smaller (P<0.05) in group A than group B, while the CL angle, T1S, and TK angle were significantly greater (P<0.05) in group A than group A'. The Cobb angle was significantly smaller (P=0.024), and the spinal sagittal axis and TPA were significantly greater (P=0.013 and 0.005, respectively) in group B than group B'. Different correlations were found among the spinal parameters.</p><p><strong>Conclusions: </strong>SS children have a significantly larger CL angle, T1S, TPA, and TK angle, and a tendency toward a hunchback posture. When scoliosis occurs in the coronal plane in children with SS, the degree of scoliosis is relatively small, and the spine tilts toward the dorsal side.</p>","PeriodicalId":54267,"journal":{"name":"Quantitative Imaging in Medicine and Surgery","volume":"15 2","pages":"1383-1395"},"PeriodicalIF":2.9000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11847212/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Quantitative Imaging in Medicine and Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/qims-24-992","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/22 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
摘要
背景：矮身材（SS）儿童总矢状面和冠状面参数的特征以及这些参数之间的相关性目前尚不清楚。本病例对照研究旨在回顾性调查矮身材儿童的总矢状面和冠状面参数特征，并研究这些参数之间的相关性：方法：收集 3-15 岁 SS 儿童和正常身高儿童的数据，并将儿童分别分配到观察组和对照组。分析参数包括：Cobb冠状角、颈椎前凸（CL）角、T1斜率（T1S）、胸椎后凸（TK）角、腰椎前凸（LL）角、骶骨倾斜角、骨盆倾斜角、骨盆入射角、颈椎矢状轴、脊柱矢状轴、躯干骨盆角（TPA）和脊骶角（SSA）：本研究共纳入了 41 名患有 SS 的儿童，并纳入了 80 名年龄和性别匹配、身高正常的儿童作为对照。SS儿童的CL角、T1S和TPA明显更大（结论：SS儿童的CL角、T1S和TPA明显更大：SS儿童的CL角、T1S、TPA和TK角明显更大，并有驼背的倾向。当SS儿童在冠状面上出现脊柱侧弯时，侧弯程度相对较小，脊柱向背侧倾斜。
Spinal sagittal and coronal morphology characteristics in children with short stature.
Background: The characteristics of total sagittal and coronal plane parameters in children with short stature (SS) and the correlations between these parameters are currently unknown. This case-control study sought to retrospectively investigate the characteristics of total sagittal and coronal plane parameters in children with SS and examine the correlations between these parameters.
Methods: The data of children aged 3-15 years with SS and normal heights were collected, and the children were allocated to the observation and control groups, respectively. The following parameters were analyzed: coronal Cobb angle, cervical lordosis (CL) angle, T1 slope (T1S), thoracic kyphosis (TK) angle, lumbar lordosis (LL) angle, sacral inclination angle, pelvic inclination angle, pelvic incidence angle, cervical sagittal axis, spinal sagittal axis, trunk pelvic angle (TPA), and spino-sacral angle (SSA).
Results: In total, 41 children with SS were enrolled in this study, and 80 age- and sex-matched children with normal heights were included as the controls. The CL angle, T1S, and TPA were significantly greater (P<0.050) in the children with SS than those with normal heights. The children with SS were further divided into group A with CL (a positive CL angle) and group B without CL (a negative CL angle), while the children with normal heights were further divided into group A' with CL and group B' without CL. The CL angle, T1S, and TK angle were significantly greater (P<0.05), but the Cobb angle and spinal sagittal axis were significantly smaller (P<0.05) in group A than group B, while the CL angle, T1S, and TK angle were significantly greater (P<0.05) in group A than group A'. The Cobb angle was significantly smaller (P=0.024), and the spinal sagittal axis and TPA were significantly greater (P=0.013 and 0.005, respectively) in group B than group B'. Different correlations were found among the spinal parameters.
Conclusions: SS children have a significantly larger CL angle, T1S, TPA, and TK angle, and a tendency toward a hunchback posture. When scoliosis occurs in the coronal plane in children with SS, the degree of scoliosis is relatively small, and the spine tilts toward the dorsal side.
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