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논문 기본 정보

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학술저널
저자정보
Kobayashi Kazuyoshi (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Ando Kei (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Nakashima Hiroaki (Orthopedic Surgery Konan Kosei Hospital Konan) Machino Masaaki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Morozumi Masayoshi (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Kanbara Shunsuke (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Ito Sadayuki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Inoue Taro (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Yamaguchi Hidetoshi (Nagoya University Graduate School of Medicine) Mishima Kenichi (Nagoya University Graduate School of Medicine) Ishiguro Naoki (Department of Orthopedic Surgery Nagoya University Graduate School of Medicine Nagoya Japan) Imagama Shiro (Nagoya University Graduate School of Medicine)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.14 No.6
발행연도
2020.1
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801 - 807 (7page)

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Study Design: Single-center retrospective study in pediatric patients.Purpose: The purpose of the study was to investigate the effects of the presence and severity of leg-length discrepancy (LLD) on scoliosis in children.Overview of Literature: LLD is a common orthopedic problem that can result in standing imbalance, low back pain, and stress fractures. It may cause structural changes in the spine over time, but the exact effect of LLD on scoliosis is unknown.Methods: The subjects were 23 children with LLD ≥20 mm (range, 27–65 mm) treated at Nagoya University Hospital between 2007 and 2017. Whole spine posteroanterior standing radiographs and whole lower limb radiographs in a supine position were recorded. Data were collected for demographics, LLD, Cobb angle, pelvic obliquity, and Nash/Moe index. Scoliosis was defined as a Cobb angle ≥10°. Leg length was measured from the top of the femoral head to the middle of the tibial plafond, and LLD was defined as the difference between the left and right leg lengths.Results: The patients (nine males and 14 females) had a mean age of 14.0 years (range, 5–18 years). The average LLD was 44.3±17.2 mm, with LLDs of 20 to 39 mm, 40 to 59 mm, and ≥60 mm in 13, five, and five subjects, respectively. The average Cobb angle was 13.0°±7.0°, and 15 subjects (65%) had scoliosis. Convexity of the scoliosis was to the short leg side in all cases. The Cobb angle was significantly related to the severity of the LLD (<i>R</i>=0.736, <i>p</i><0.01), pelvic obliquity (<i>R</i>=0.966, <i>p</i><0.01), and Nash/Moe index (<i>p</i><0.05).Conclusions: LLD is a common pediatric condition that can cause scoliosis of the spine. Severe scoliosis may develop if the LLD is ≥30 mm. Long-term studies are needed to examine the effect of LLD resolution on the elimination of scoliosis.
#Scoliosis #Leg length inequality #Child #Cobb angle #Pelvic obliquity

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참고문헌 (28)

참고문헌 신청
Gurney B / 2002 / Leg length discrepancy / Gait Posture 15:195~206 google schola Aaron AD / 1996 / Results of the Wagner and Ilizarov methods of limb-lengthening / J Bone Joint Surg Am 78:20~29 google schola Rose R / 1999 / Pediatric leg length discrepancy : causes and treatments / Orthop Nurs 18:21~29 google schola Enjolras O / 2004 / Vascular anomalies and the growth of limbs : a review / J Pediatr Orthop B 13:349~357 google schola Breugem CC / 2003 / Vascular malformations of the lower limb with osseous involvement / J Bone Joint Surg Br 85:399~405 google schola

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