Evolution of anterior chest wall blood supply in female adolescents with progressive right-convex thoracic idiopathic scoliosis
| Autor: | Panagiotis Stergiou, Georgios Koureas, Spyridon Zacharatos, Panagiotis Korovessis, Panagiotis Iliopoulos |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Aging Orthotic Devices Adolescent Anterior chest wall Hemodynamics Idiopathic scoliosis Scoliosis Functional Laterality Sex Factors Predictive Value of Tests medicine Humans Orthopedics and Sports Medicine Mammary Arteries Ultrasonography Doppler Color Thoracic Wall business.industry Age Factors medicine.disease Surgery Autonomic Nervous System Diseases Regional Blood Flow Etiology Blood supply Female Neurology (clinical) business Thoracic scoliosis Right convex |
| Zdroj: | Journal of spinal disorderstechniques. 20(3) |
| ISSN: | 1536-0652 |
| Popis: | Breast asymmetry was believed to be related to the asymmetry of anterior chest wall blood supply and subsequently to etiology of idiopathic thoracic scoliosis in female adolescents. Recent investigations on the anterior chest wall blood supply with colour Doppler ultrasonography in such individuals did not show anatomic and hemodynamic abnormalities. The present study investigated the evolution of anterior chest wall blood supply in these individuals over a 2-year period. Twenty female adolescents with progressive right-convex idiopathic thoracic scoliosis (scoliotics), who were during the study in therapy with thoracolumbosacral orthosis and 20 age-matched girls, without spine deformity (controls) were studied with colour Doppler ultrasonography [internal mammary artery (IMA)] twice within the 2-year period. IMA-anatomic parameters [lumen diameter (D) and cross sectional area (AR)] and also hemodynamic flow parameters [time average mean flow velocity (TAM) and flow volume per minute (FV)] were measured. In the 2-year period of observation, thoracolumbosacral orthosis prevented scoliosis progression (P=0.004), whereas IMA-AR decreased bilaterally in the individuals of both groups (P |
| Databáze: | OpenAIRE |
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