Abstract：
OBJECTIVE: To investigate the association and evaluate the characteristics between different types of anterior chest wall and spinal deformities.
METHODS: A total of 548 patients with anterior chest wall deformities were included in this study. Clinical and radiological examinations were performed to determine spinal deformities. The type and severity of the spinal deformities were evaluated and their relationships with chest wall deformity subtypes were statistically analyzed.
RESULTS: Spinal deformities were identified in 93 (16.97%) patients. The patients were subdivided into 71 (76.3%) male and 22 (23.7%) female patients. A spinal deformity was detected in 57 (13%) of 418 pectus excavatum (PE) patients, in 23 (19%) of 117 pectus carinatum (PC) patients, and in all patients with mixed pectus deformity (PE + PC), syndromic deformity and rib anomalies. In the PE group, scoliosis, and kyphosis were observed at 57.9 and 31.6%, respectively. In the PC group, these rates were 43.5 and 47.8%, respectively. Idiopathic scoliosis was observed in 42 (77.7%) and constituted the most common scoliosis subgroup. The main thoracic curvature was the most common curve pattern, which was observed in 15 (35.7%) patients with idiopathic scoliosis.
CONCLUSIONS: Idiopathic scoliosis with main thoracic curvature is the most common deformity in patients with anterior chest wall deformity. Spinal deformities are more common in male patients with chest deformities. Kyphosis is found in a significant number of PE and PC patients. Patients with mixed PE and PC, rib anomalies, and syndromic disease are more likely to have spinal deformities.
METHODS: A total of 548 patients with anterior chest wall deformities were included in this study. Clinical and radiological examinations were performed to determine spinal deformities. The type and severity of the spinal deformities were evaluated and their relationships with chest wall deformity subtypes were statistically analyzed.
RESULTS: Spinal deformities were identified in 93 (16.97%) patients. The patients were subdivided into 71 (76.3%) male and 22 (23.7%) female patients. A spinal deformity was detected in 57 (13%) of 418 pectus excavatum (PE) patients, in 23 (19%) of 117 pectus carinatum (PC) patients, and in all patients with mixed pectus deformity (PE + PC), syndromic deformity and rib anomalies. In the PE group, scoliosis, and kyphosis were observed at 57.9 and 31.6%, respectively. In the PC group, these rates were 43.5 and 47.8%, respectively. Idiopathic scoliosis was observed in 42 (77.7%) and constituted the most common scoliosis subgroup. The main thoracic curvature was the most common curve pattern, which was observed in 15 (35.7%) patients with idiopathic scoliosis.
CONCLUSIONS: Idiopathic scoliosis with main thoracic curvature is the most common deformity in patients with anterior chest wall deformity. Spinal deformities are more common in male patients with chest deformities. Kyphosis is found in a significant number of PE and PC patients. Patients with mixed PE and PC, rib anomalies, and syndromic disease are more likely to have spinal deformities.
摘要：
目的：探讨不同类型的前胸壁与脊柱畸形的关系及特点。
方法：共纳入548例前胸壁畸形患者。进行临床和放射学检查以确定脊柱畸形。评估脊柱畸形的类型和严重程度，并对其与胸壁畸形亚型的关系进行统计学分析。
结果：在93例（16.97%）患者中发现脊柱畸形。患者分为71例（76.3％）男性和22例（23.7％）女性患者。在418例漏斗胸（PE）患者中，有57例（13％）发现了脊柱畸形，在117例胸膜(PC)患者中，有23例(19%)，在所有混合性胸膜畸形（PE+PC）患者中，综合征畸形和肋骨异常。在PE组,脊柱侧弯,后凸畸形分别为57.9％和31.6％，分别。在PC组中，这些比率分别为43.5和47.8%，分别。特发性脊柱侧凸有42例（77.7％），是最常见的脊柱侧凸亚组。主要的胸廓弯曲是最常见的曲线，在15例（35.7％）特发性脊柱侧凸患者中观察到。
结论：特发性脊柱侧凸以主胸曲为最常见的前胸壁畸形。脊柱畸形在男性胸部畸形患者中更为常见。在大量的PE和PC患者中发现脊柱后凸。PE和PC混合的患者，肋骨异常,和综合征性疾病更可能有脊柱畸形。
方法：共纳入548例前胸壁畸形患者。进行临床和放射学检查以确定脊柱畸形。评估脊柱畸形的类型和严重程度，并对其与胸壁畸形亚型的关系进行统计学分析。
结果：在93例（16.97%）患者中发现脊柱畸形。患者分为71例（76.3％）男性和22例（23.7％）女性患者。在418例漏斗胸（PE）患者中，有57例（13％）发现了脊柱畸形，在117例胸膜(PC)患者中，有23例(19%)，在所有混合性胸膜畸形（PE+PC）患者中，综合征畸形和肋骨异常。在PE组,脊柱侧弯,后凸畸形分别为57.9％和31.6％，分别。在PC组中，这些比率分别为43.5和47.8%，分别。特发性脊柱侧凸有42例（77.7％），是最常见的脊柱侧凸亚组。主要的胸廓弯曲是最常见的曲线，在15例（35.7％）特发性脊柱侧凸患者中观察到。
结论：特发性脊柱侧凸以主胸曲为最常见的前胸壁畸形。脊柱畸形在男性胸部畸形患者中更为常见。在大量的PE和PC患者中发现脊柱后凸。PE和PC混合的患者，肋骨异常,和综合征性疾病更可能有脊柱畸形。
