spinal curvature
Spinal curvature is a test of the curvature of the human spine to diagnose the presence of lesions in the spine. The examiner uses his fingers to press the spine tip of the spine from top to bottom with appropriate pressure. After the stroke, a red blood-filling line appears on the skin, and the line is used as a standard to observe whether the spine has a side bend. Basic Information Specialist classification: growth and development check classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: Normal development. Positive: Prompt for other diseases that require further diagnosis. Tips: Pregnant women should not do this check. Patients with lumbar fractures are not suitable for this examination. Normal value The normal human spine has four curvatures in the anterior-posterior direction, that is, the cervical vertebrae are slightly convex forward, the thoracic vertebrae are slightly convex, the lumbar vertebrae are clearly convex forward, and the atlas is obviously kyphosis, similar to the "S" shape. Clinical significance Abnormal results: The patient is standing and carefully checking for malformations. Usually three basic malformations are visible. 1. Kyphosis refers to excessive curvature of the spine, also known as hunchback. Most occur in the thoracic spine. (1) Pediatric kyphosis: mostly caused by rickets, which is characterized by the fact that the thoracic segment shows a uniform uniformity when it is sitting backwards, and the bending can disappear when it is in the supine position. (2) Spinal tuberculosis: It occurs mostly in adolescence, and the lesion is often in the lower thoracic spine. In the early stage, only the local spinous process was slightly raised, such as a button-like shape; later, it gradually became a large bulge, forming an angular deformity, such as a "hump"-like bulge. In order to relieve the tenderness of the affected vertebra when sitting, the torso is often supported by both hands; when walking or standing, it is also posture of leaning forward and leaning backwards. (3) Uniform kyphosis in the thoracolumbar region of adolescents: it may be the result of poor posture during development or suffering from spinal osteochondritis. (4) Adult thoracic segments are curved (or arcuate) kyphosis: seen in rheumatoid spondylitis, often with spinal rigidity, the spine can not be flat in the supine position. (5) The kyphosis of the elderly: occurs mostly in the upper part of the thoracic segment, and the trunk is slightly inclined forward, the head is extended forward, and the shoulder is moved forward, which is caused by degeneration of the bone and compression of the thoracic vertebral body. (6) Spine kyphosis caused by traumatic spinal fractures: can occur in any age group. People who need to be examined: people with abnormal standing postures, people with hunchbacks. Positive results may be diseases: young hunchback, pediatric cervical fusion syndrome, interspinous ligament injury, traumatic anterior spondylolisthesis, hemivertebra deformity, transitional spine, spinous process tenderness precautions Taboo before inspection: no special contraindications. Requirements for inspection: Obey the doctor's instructions to check. Active cooperation. Inspection process The examiner uses his fingers to press the spine tip of the spine from top to bottom with appropriate pressure. After the stroke, a red blood-filling line appears on the skin, and the line is used as a standard to observe whether the spine has a side bend. Not suitable for the crowd Pregnant women should not do this check. Patients with lumbar fractures are not suitable for this examination. Adverse reactions and risks Nothing.
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