Abstract:
STUDY DESIGN:Analysis of clinical database material collected prospectively. OBJECTIVE:Examination of the association between lateralization of scoliotic curves and the existence of underlying disease. SUMMARY OF BACKGROUND DATA:It has been suggested that left thoracic scoliosis configurations are intrinsically pathologic, whereas the more usual right curve is, in a sense, "normal." METHODS:Research-based records were analyzed. Scoliosis configuration, patient gender, and diagnostic group were correlated. The results were interpreted within a biologic framework. RESULTS:Congenital and infantile idiopathic scoliosis showed a random right-left curve distribution. In older age groups, boys were more likely to have a left thoracic curve and to have underlying disease, but there was no association between the two. In girls, occurrence in childhood itself and left thoracic patterns within that group were associated with disease. Nevertheless, most curves were in the right thoracic pattern, regardless of cause. CONCLUSIONS:Although an association exists between left thoracic curves and disease, it is not strong enough to determine who should be intensively investigated, to the exclusion of other clinical findings, and it seems inappropriate for a different approach to be adopted on the basis of scoliosis pattern alone. Gender in males and age at occurrence in females are more important risk factors than in scoliosis configuration. All new cases of scoliosis treated by a physician warrant equally meticulous assessment, with more sophisticated investigative techniques where indicated by the complete clinical picture, of which curve lateralization is only a part. Biologic theories of left and right are more capable of dealing with the phenomenon of scoliosis lateralization than are simple mechanics or concepts of specific diseases.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Goldberg CJ,Moore DP,Fogarty EE,Dowling FEdoi
10.1097/00007632-199906150-00010keywords:
subject
Has Abstractpub_date
1999-06-15 00:00:00pages
1228-33issue
12eissn
0362-2436issn
1528-1159journal_volume
24pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Controlled study to assess the efficacy of aprotinin and Amicar in reducing blood loss during complex spinal fusions. OBJECTIVES:To compare blood loss and the clotting profile with a thromboelastogram in patients with spinal deformities undergoing sequential anterior and posterior spinal fusions treated i...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-200105150-00012
更新日期:2001-05-15 00:00:00
abstract::A previous study by Koch and Nickel (1978) determined the changes in the distraction forces in the halo-vest during different activities. The present study determined the variations of forces in different directions between the halo and the vest also during different activities. Clip-on strain gauges were used to meas...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198411000-00001
更新日期:1984-11-01 00:00:00
abstract:STUDY DESIGN:Systematic literature review and expert survey OBJECTIVE.: The aim of this study was to determine factors associated with neurologic improvement in patients with neurologic deficits secondary to metastatic epidural spinal cord compression (MESCC). Clear understanding of these factors will guide surgical de...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0000000000001827
更新日期:2016-10-15 00:00:00
abstract:STUDY DESIGN:The classification system was derived through a literature review and expert opinion of experienced spine surgeons. In addition, a multicenter reliability and validity study of the system was conducted on a collection of trauma cases. OBJECTIVES:To define a novel classification system for subaxial cervica...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181557b92
更新日期:2007-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVE:To study the incidence of intraoperative cerebrospinal fluid (CSF) leak in patients with ossified posterior longitudinal ligament (OPLL) undergoing central cervical corpectomy (CC) and to describe a reliable technique for treating the leak after CC. SUMMARY OF BACKGROUND DATA:The...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318195d245
更新日期:2009-03-01 00:00:00
abstract:STUDY DESIGN:Multicenter retrospective study. OBJECTIVE:The aim of this study was to identify specific risk factors for increased length of stay (LOS) in the management of acute surgical site infection (SSI) following spinal surgery. SUMMARY OF BACKGROUND DATA:Postoperative SSI is a serious complication of spinal sur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003684
更新日期:2020-12-01 00:00:00
abstract:STUDY DESIGN:Repeated measures experimental study of the effect of flexion-relaxation, recovery, and gender on paraspinal reflex dynamics. OBJECTIVE:To determine the effect of prolonged flexion-relaxation and recovery time on reflex behavior in human subjects. SUMMARY OF BACKGROUND DATA:Prolonged spinal flexion has b...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000206361.53451.c7
更新日期:2006-04-01 00:00:00
abstract::Microlumbar discectomy is a new surgical technique for the treatment of herniated lumbar disc. The operating microscope and special instruments enable the surgeon to remove the herniated portion of the disc without laminectomy through a 1-inch skin incision. A transfusion was never necessary. In a followup study of 14...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1978-06-01 00:00:00
abstract:STUDY DESIGN:The impact of various levels of mental processing and pacing (during lifting) on spine loading was monitored under laboratory conditions. OBJECTIVES:To explore how mental demands and pacing influence the biomechanical response and subsequent spine loading and, to determine whether individual characteristi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200212010-00003
更新日期:2002-12-01 00:00:00
abstract:STUDY DESIGN:A retrospective analysis. OBJECTIVE:To evaluate the long-term clinical and radiographic outcomes and to investigate who achieved the successful outcomes after lumbar total disc replacement (TDR) using ProDisc II. SUMMARY OF BACKGROUND DATA:There are few evidences regarding the long-term efficacy and safe...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001527
更新日期:2016-06-01 00:00:00
abstract:STUDY DESIGN:Review of a prospective database registry. OBJECTIVE:To compare the Scoliosis Research Society (SRS)-22 and SRS-24 outcomes instruments in terms of scores, rate of ceiling effects, and discriminant ability in patients with pre- and postoperative adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000001082
更新日期:2015-12-01 00:00:00
abstract:STUDY DESIGN:A prospective and controlled comparative study. OBJECTIVES:To verify the difference in morphologic appearance between a group of adolescents with progressive adolescent idiopathic scoliosis and a control group of normal adolescents. SUMMARY OF BACKGROUND DATA:In a previous retrospective study, the possib...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199711010-00013
更新日期:1997-11-01 00:00:00
abstract::The height development during childhood and puberty was analyzed in 54 girls with adolescent idiopathic scoliosis by the use of the Infancy Childhood Puberty growth model, which is based on healthy Swedish children. This model adjusts adolescent reference values for height for individual age at pubertal maturation. Th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199201000-00016
更新日期:1992-01-01 00:00:00
abstract:STUDY DESIGN:The possibility of a relationship between discographic pain responses and Minnesota Multiphasic Personality inventory scores was investigated. OBJECTIVES:To determine if patients with elevated Minnesota Multiphasic Personality Inventory scale scores were more likely to report pain on the injection of a no...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199602010-00017
更新日期:1996-02-01 00:00:00
abstract:STUDY DESIGN:Retrospective cross-sectional study. OBJECTIVE:To evaluate the degree of postoperative pain and patients' satisfaction after lumbar fusion from a nationwide survey in Korea. SUMMARY OF BACKGROUND DATA:There have been few studies that investigated the factors related to patients' satisfaction after spinal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c49fd0
更新日期:2010-07-01 00:00:00
abstract:STUDY DESIGN:The influence of lumbar disc height and cross-sectional area on the mechanical response of the disc to physiologic loading was determined using a finite element model. OBJECTIVES:To identify which geometric characteristics are potentially related to motion segment mechanical response to applied load, such...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199909150-00003
更新日期:1999-09-15 00:00:00
abstract:STUDY DESIGN:Clinical and imaging findings of patients diagnosed with pyogenic sacroiliitis were retrospectively analyzed. OBJECTIVES:To characterize the clinical and magnetic resonance features of patients with acute pyogenic sacroiliitis without the usually known predisposing conditions and to investigate the diagno...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.BRS.0000092481.42709.6F
更新日期:2003-09-15 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVE:The purpose of this study was to analyze the relationship of the parameters of cervical sagittal alignment between those obtained from cervical CT and those obtained from radiography, as well as to determine which parameter would help predict physiological lordosis of the ce...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000281
更新日期:2014-05-01 00:00:00
abstract:STUDY DESIGN:Randomized controlled trial. OBJECTIVE:To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication com...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e31822f4306
更新日期:2012-04-20 00:00:00
abstract:STUDY DESIGN:A prospective study was conducted in patients who underwent surgeries for sciatica. The results were compared to those of control subjects. OBJECTIVES:This study expanded knowledge about the pathogenesis of back pain and sciatica in disc herniation. METHODS:Nucleus pulposus, retrieved from 10 patients wh...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199406000-00003
更新日期:1994-06-15 00:00:00
abstract:STUDY DESIGN:In-vitro study of the tissue mechanics of annulus fibrosus. OBJECTIVE:To determine the effect of axial torsion on the mechanical properties of the inter- and intralamellar matrices. SUMMARY OF BACKGROUND DATA:Axial torsion, when combined with repetitive flexion, has been associated with an increased risk...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002803
更新日期:2019-02-15 00:00:00
abstract:STUDY DESIGN:This is a retrospective review of the epidemiology of contraindications to lumbar total disc replacement (TDR). OBJECTIVE:To define the prevalence of contraindications to lumbar total disc replacement in a cohort of patients undergoing lumbar surgery in the senior author's (F.P.C.) practice. SUMMARY OF B...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000144829.57885.20
更新日期:2004-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective review. OBJECTIVE:To report the incidence of and risk factors for intraoperative cardiopulmonary arrest (ICA) in children undergoing spinal deformity surgery. SUMMARY OF BACKGROUND DATA:Spinal deformities in children are associated with comorbidities that can pose substantial risks during s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001105
更新日期:2015-11-01 00:00:00
abstract:STUDY DESIGN:An intramuscular electromyographic study was performed on trunk rotations during sitting and standing. OBJECTIVE:The aim was to provide new information on activation levels for deep trunk muscles in various unresisted and resisted trunk rotations. SUMMARY AND BACKGROUND DATA:Frequent daily trunk twisting...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/00007632-200203150-00014
更新日期:2002-03-15 00:00:00
abstract::MINI: Circulating microRNAs provide an insight into current disease states. Comparing patients with degenerative disc disease to healthy controls, patients with disc disease were found to have significantly downregulated levels of miR-155-5p. This marker was found to be an accurate diagnostic predictor for the presenc...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003322
更新日期:2020-05-01 00:00:00
abstract:STUDY DESIGN:Conditioned media (CM) of cartilaginous endplates (CEPs) of intervertebral discs were analyzed in a bioassay with regard to their influence on matrix turnover and inflammatory factors on nucleus pulposus (NP) cells of the same patient. CEP tissue underwent further histological and ultrastructural analysis....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000372
更新日期:2014-08-01 00:00:00
abstract:STUDY DESIGN:A retrospective, consecutive case study of 1571 pediatric patients who underwent spinal deformity surgery and had minimum 2-year follow-up. OBJECTIVE:To identify (1) the rate of infection after pediatric spinal deformity surgery; (2) the number of surgeries required to treat a postoperative infection afte...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181c212d1
更新日期:2010-05-20 00:00:00
abstract:STUDY DESIGN:In vitro cadaveric study. OBJECTIVE:The purpose of this study was to quantify the relative biomechanical protection resulting from "saving a level" in long spinal fusions. SUMMARY OF BACKGROUND DATA:"Saving levels" in spinal deformity surgery is desirable. Constructs with lowest instrumented vertebra (LI...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31821e1106
更新日期:2012-03-01 00:00:00
abstract::Thirty-three patients with unstable burst fractures of the lower thoracic and lumbar spine were treated with a reduction-fixation system. The new system is used both as a reduction and a fixation device for disorders of the lower thoracic and lumbar spine. In treatment of spinal fractures, it provides symmetric lordot...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199208000-00004
更新日期:1992-08-01 00:00:00
abstract::This case is presented to emphasize that late infection should be considered in all postoperative patients as a cause of pain. A psoas abscess may remain dormant for many years after an anterior spinal procedure. It should be considered in the differential diagnosis of back pain and lumbar radiculopathy after anterior...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00019
更新日期:1992-05-01 00:00:00