Adölesan İdiyopatik Skolyozda Dominant Kol ve Major Torasik Eğri Arasında İlişki Var Mıdır? Tek Merkezli Retrospektif Araştırma

Öz

Amaç: Bu çalışmanın amacı, bilimsel literatürde tartışmalı bir konu olan adolesan idiyopatik skolyoz tanısı almış hastalarda majör torasik eğrilik ile dominant kol taraf arasındaki ilişkiyi incelemek ve bulguları bilimsel literatüre sunmaktır. Yöntemler: Bu retrospektif çalışmaya, 10 ila 19 yaşları arasında, majör torasik eğriliği olan adolesan idiyopatik skolyoz tanısı almış hastalar dahil edildi. Hastaların yaşı, son röntgendeki Cobb açısı ve torasik eğrinin yönü ve dominant üst ekstremitesi kaydedildi ve değerlendirildi. Bulgular: Çalışmaya, dahil etme kriterlerini karşılayan toplam 50 katılımcı dahil edildi. Ancak, hem sağ hem de sol elini eşit şekilde kullandığını belirten 15 yaşında bir erkek hasta analizlere dahil edilmedi. Hastaların ortalama yaşı 14,7 yıl ve ortalama Cobb açısı 29,5° olarak bulundu. 41 hastada sağ torasik majör eğrilik, sekiz hastada ise sol torasik major eğrilik vardı. Sadece iki hastada sol ekstremite dominant idi. Sağ ve sol torasik eğri paternleri arasında dominant ekstremite dağılımı bakımından istatistiksel olarak anlamlı bir farklılık yoktu (p=0,377). Sonuç: Çalışmamızın sonuçlarına göre torasik eğrinin yönü ile üst ekstremite hakimiyeti arasında bir ilişki bulunmadı. Ancak daha büyük örneklem büyüklüklerine sahip, farklı eğrilik paternleri içeren ve beyin lateralizasyonunun etkisini araştıran gelecekteki çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Adolesan
• El tercihi
• Yanallık
• Skolyoz
• Omurga

Is There a Relationship Between Dominant Arm and Major Thoracic Curve Direction in Adolescent Idiopathic Scoliosis? A Single-Center Retrospective Study

Öz

Objective: This study aims to examine the correlation between significant thoracic curvature and the dominant arm side in patients diagnosed with adolescent idiopathic scoliosis, a contentious issue in the scientific literature, and to communicate the findings to the scientific community. Methods: This retrospective study included patients diagnosed with adolescent idiopathic scoliosis aged between 10 and 19 years, with a major thoracic curve. The patients' age, Cobb angle from the latest X-ray and direction of thoracic curve, and dominant upper extremity were recorded and evaluated. Results: The study included 50 participants in total who satisfied the inclusion criteria. However, due to his statement that he used both his right and left hands equally, a male patient, age 15, was not included in the analyses. The mean age of the patients was 14.7 years and mean Cobb angle was 29.5°. Forty-one patients had right thoracic curvature, while eight patients had left thoracic curvature. Only two patients had left extremity dominance. There was no statistically significant difference in the direction of dominant extremity between the right and left thoracic curve patterns (p=0.377). Conclusion: According to the results of our study, no relationship was found between the direction of the thoracic curve and upper extremity dominance. However, future studies with larger sample sizes, including different curve patterns, and investigating the effect of brain lateralization are needed.

Anahtar Kelimeler

• adolescence
• handedness
• laterality
• scoliosis
• spine

Kaynakça

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