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目的配合临床评价支点弯曲位X线片在预测特发性脊柱侧凸患者脊柱矫形融合术效果价值。方法对40例特发性脊柱侧凸患者的45个结构性弯曲行术前站立位,仰卧正侧位,仰卧正屈位和支点弯曲位X线摄片。结果术前对胸弯和腰弯仰侧屈位平均Cobb角分别为43°和22°,支点弯曲X线片测量平均Cobb角分别为38°和19,°术后Cobb角分别为37°和19°。严重侧弯组和中度侧弯组仰卧侧屈位平均Cobb角分别为52°和22°,支点弯曲位平均为49°和19°,术后Cobb角分别为45°和22°。结论支点弯曲位X线片比传统摄片更好地为临床提供更多信息。
Objective To evaluate the value of clinical evaluation of spondylolisthesis in predicting spinal orthopedic fusion in patients with idiopathic scoliosis. Methods Forty-five patients with idiopathic scoliosis underwent preoperative standing, supine lateral, supine orthoptic flexion and fulcrum bending X-ray. Results The preoperative mean Cobb angles were 43 ° and 22 ° for flexion of the thoracic and lumbar flexion respectively. The average Cobb angles measured by the bending radiographs were 38 ° and 19 °, respectively. The Cobb angles were 37 ° 19 °. The average Cobb angles of the supine lateral flexion group were 52 ° and 22 ° respectively in the severe and moderate flexion groups, and the average bending fulcrums were 49 ° and 19 °. The Cobb angles were 45 ° and 22 °, respectively. Conclusion Fulcrum bending X-ray films better than traditional radiography for clinical to provide more information.