EVALUATION OF IDIOPATHIC SCOLIOSIS IN SUBTYPES OF PECTUS EXCAVATUM AND CARINATUM.

IF 0.5 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2025-01-10 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243206e278331

Davi de Podesta Haje, Guilherme Antunes Barriviera, Marcos Vinícius Santana Silva, Caroline Kaori Maebayashi

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Abstract

Objective: Evaluation of epidemiological data on Idiopathic Scoliosis in patients with different pectus subtypes.

Methods: A medical record analysis of 418 patients with pectus, associated with idiopathic scoliosis above 10°, with research on: subtypes of pectus (Lateral Pectus Carinatum, Inferior Pectus Carinatum, Superior Pectus Carinatum, Broad Pectus Excavatum, and Localized Pectus Excavatum), and characteristics of the scoliotic curve (Cobb angle, laterality, and location).

Results: The mean age was 14.6 years (22° mean Cobb, 52% females and 48% males). The most frequent kind of pectus was Inferior Pectus Carinatum (28%). The left-convex thoracolumbar type was the most frequent. Scoliosis was more severe in thoracic location and females. The main type was LPC (p < 0.05) in those with severe scoliosis. BPE was more present in men (68%), and LPC and SPC in women (p < 0.05). No significant differences were found between the pectus type and the side or location of the scoliosis curve.

Conclusion: Depending on the subtype of pectus, the scoliotic curve presents distinct epidemiology and characteristics. Level of Evidence IV, Case Series - study prognostic.

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对漏斗胸和隆突型特发性脊柱侧凸的评价。

目的评估特发性脊柱侧凸在不同胸廓亚型患者中的流行病学数据：对418名伴有10°以上特发性脊柱侧凸的鸡胸患者进行病历分析，研究鸡胸的亚型（外侧鸡胸、下侧鸡胸、上侧鸡胸、宽大鸡胸和局部鸡胸）以及脊柱侧凸曲线的特征（Cobb角、侧向和位置）：患者平均年龄为 14.6 岁（平均 Cobb 角度为 22°，女性占 52%，男性占 48%）。最常见的胸肌类型是下胸肌（28%）。左凸型胸腰椎侧凸最为常见。脊柱侧弯在胸椎位置和女性中更为严重。严重脊柱侧凸患者的主要类型是 LPC（P < 0.05）。BPE多见于男性（68%），LPC和SPC多见于女性（P < 0.05）。驼背类型与脊柱侧弯的侧面或位置之间没有明显差异：结论：根据乳房下垂的亚型，脊柱侧弯呈现出不同的流行病学和特征。证据等级IV，病例系列--预后研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.