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1950年Iowa小儿骨科医师Ponseti等[1]最早提出特发性脊柱侧凸上胸弯的概念;1970年Moe等[2]将上胸弯确认为:双主胸弯型的特发性脊柱侧凸中上端椎在T1或T2,下端椎在T5或T6之间的弯度。笔者认为讨论结构性上胸弯时应明确以下几点:(1)结构性上胸弯只有在双主胸弯的侧凸中存在;(2)由于典型的AIS主胸弯都是右侧弯,所以结构性上胸弯一般是左侧弯;(3)结构性上胸弯之所以重要是因它被认为与双肩的平衡有关,特别是和左肩的高低有关。
In 1950 Iowa pediatric orthopedic surgeon Ponseti et al [1] first proposed the concept of idiopathic scoliosis on the chest; Moe et al [2] in 1970 the upper thoracic curve confirmed as: double main chest curved idiopathic Convex upper vertebra in T1 or T2, the lower vertebra in the T5 or T6 between the curvature. The author believes that the following points should be clarified when discussing structural upper chest flexion: (1) structural upper thoracic curve exists only in the dorsal curvature of the double main thoracic curve; (2) since the typical AIS major thoracic curve is both right , So structural upper thoracic curve is generally the left curve; (3) Structural upper thoracic curve is important because it is considered to be related to the balance of the shoulders, especially the level of the left shoulder.