| 제목 |
Pelvic malalignment syndrome in Congenital Muscular Torticollis |
| 소속 |
Department of Rehabilitation Medicine, College of Medicine, Chungnam National University, Daejeon, Republic of Korea1 |
| 저자 |
Dongmin Hwang1*, Ja Young Choi1, Shinseung Yang1† |
Background: Although secondary scoliosis frequently occurs in patients with congenital muscular torticollis (CMT), the relationship between pelvic malalignment syndrome (PMS) and CMT has not been evaluated. The aim of this study is to investigate the relationship between PMS and CMT and determine factors associated with development of PMS in children with CMT.
Methods: This retrospective study included 130 children confirmed as having CMT with a minimum 2-year follow-up. PMS was defined as pelvic obliquity and pelvic rotation with or without compensatory scoliosis. The demographic factors, the initial diagnosis age of torticollis, ultrasound findings such as fibromatosis coli type, and presence of limitation of range of neck motion were investigated. Logistic regression analysis was performed to determine the factors affecting the development of PMS.
Result: Among 130 children with CMT, 51 children (39.2%) developed PMS with or without compensatory scoliosis, at long term follow up visit. However, univariate logistic regression analysis revealed no significant factors associated with development of PMS (Table 1).
Conclusion: The results showed a high prevalence of PMS in children with a history of CMT. However, clinical factors such as limitation of motion or presence of neck mass could not predict development of PMS. Therefore, long term follow-up to screen PMS is needed in children with CMT. Further studies in larger groups of children are needed to delineate the factors associated with PMS in children with CMT.
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Logistic regression analysis of factors associated with pelvic malalignment syndrome
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