Correlation between spinal coronal balance and static baropodometry in children with adolescent idiopathic scoliosis

BackgroundScoliosis is accepted as a 3-dimensional deformity involving axial, sagittal and frontal planes.Research questionTo evaluate the correlation between baropodometric parameters and coronal balance status for idiopathic scoliosis.Methods44 patients (7 males and 37 females) of Adolescent Idiopathic Scoliosis (AIS) were recruited. All participants should have scoliosis confirmed by a spine X-ray performed less than one month ahead of the baropodometric study. Radiographic studies including Cobb angle, offset between Central Sacral Vertical Line (CSVL) and C7 Vertebra Plumb Line (C7PL) (considered as global coronal balance, GCB), Apical Translation of the major curve (AT, considered as regional coronal balance) as well as Lateral Pelvic Tilt (LPT) were examined. A static baropodometry was performed for each patient. The contact surface and load ratio (to the entire load of both feet) were measured.ResultsOn both sides, the surface of the forefoot was significantly larger than that of the rearfoot (P < 0.001) and the load ratio of the forefoot was significantly smaller than that of the rearfoot (P < 0.001). On the major curve side, GCB showed a positive correlation with the contact surface of the forefoot (r = 0.36, P = 0.019), as well as the load ratio (r = 0.40, P = 0.008). AT also showed a positive correlation with the load ratio of the forefoot (r = 0.331, P = 0.03) but no correlation with contact surface.SignificanceIn scoliosis, coronal balance is correlated to plantar pressure distribution. Apical translation of the major curve and offset between CSVL and C7PL are the best describers of coronal balance.     

密骨胶囊在治疗老年性骨质疏松症疗效观察

目的：密骨胶囊对老年性骨质疏松症疗效评定。方法：临床与实验室随机分组对70例与两对照组各35例服药3个月的对比研究。结果：临床症状与中医症候及性激素水平、骨代谢相关生化指标经统计处理,显示治疗组明显优于两对照组。结论：密骨胶囊有效缓解老年性骨质疏松症的临床症状,提高骨密度及骨矿含量,同时提高性激素水平。     

老年人腰椎间盘突出症

目的 探讨老年人腰椎间盘突出症的临床特点和治疗方法。方法 分析７５例老年人腰椎间盘突出症临床症状、体征和影像学（Ｘ线、ＣＴ、ＭＰＩ及腰椎管造影）变化特点。结果 经平均３０个月的随访,非手术治疗２９例,优良率３３．３％,手术治疗４６例,优良率９０％。结论 老年人腰椎间盘突出症均为增生狭窄型腰椎间盘突出,突出的方式以破碎游离型为主,手术治疗优于非手术治疗。