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논문 기본 정보

자료유형
학술저널
저자정보
Shu Yan Ng (Wanchi Chiropractic Clinic) Josette Bettany-Saltikov (Teesside University) Irene Yuen Kwan Cheung (Wanchi Chiropractic Clinic) Karen Kar Yin Chan (Grace Act Chiropractic Centre Ltd)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.6
발행연도
2018.1
수록면
1,127 - 1,145 (19page)

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Several theories have been proposed to explain the etiology of adolescent idiopathic scoliosis (AIS) until present. However, limited data are available regarding the impact of vitamin D insufficiency or deficiency on scoliosis. Previous studies have shown that vitamin D deficiency and insufficiency are prevalent in adolescents, including AIS patients. A series of studies conducted in Hong Kong have shown that as many as 30% of these patients have osteopenia. The 25-hydroxyvitamin D3 level has been found to positively correlate with bone mineral density (BMD) in healthy adolescents and negatively with Cobb angle in AIS patients; therefore, vitamin D deficiency is believed to play a role in AIS pathogenesis. This study attempts to review the relevant literature on AIS etiology to examine the association of vitamin D and various current theories. Our review suggested that vitamin D deficiency is associated with several current etiological theories of AIS. We postulate that vitamin D deficiency and/or insufficiency affects AIS development by its effect on the regulation of fibrosis, postural control, and BMD. Subclinical deficiency of vitamin K2, a fat-soluble vitamin, is also prevalent in adolescents; therefore, it is possible that the high prevalence of vitamin D deficiency is related to decreased fat intake. Further studies are required to elucidate the possible role of vitamin D in the pathogenesis and clinical management of AIS.

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