Denischi A, Medrea O, Antonescu D, Roventa N, Gorun N
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Sep-Oct;25(5):335-44.
The authors establish some indications, depending on several criteria, of the treatment of cases of juvenile kyphosis of the Scheuermann type. These are based on their experience acquired in the therapy of 26 cases of juvenile kyphosis in which orthopaedic procedures have been applied -- plaster cast for recovery in two stages, followed by an orthopaedic corset and careful follow-up for at least one year after the end of the treatment. The criteria suggested as being important are: the severity of the kyphosis, the mobility of the spine, the severity of the kyphosis, the mobility of the spine, the severity of the vertebral structural lesions and the bone age. In cases of kyphosis under 40 degrees with a mobile spine, with minimal radiological lesions, detected before the end of growth, kinesitherapy is indicated and repeated clinico-radiological follow-up. The progression of the kyphosis under treatment or the existance of important vertebral structural lesions make necessary the performance of an orthopaedic treatment, the same as the severe cases of kyphosis, over 40 degrees, with median or severe vertebral lesions.
作者根据若干标准确定了一些关于Scheuermann型青少年驼背病例治疗的指征。这些指征基于他们在治疗26例青少年驼背病例中获得的经验，在这些病例中采用了骨科手术——分两个阶段使用石膏固定以促进恢复，随后使用矫形束腹，并在治疗结束后至少进行一年的密切随访。被认为重要的标准包括：驼背的严重程度、脊柱的活动度、椎体结构病变的严重程度以及骨龄。对于驼背角度小于40度、脊柱活动度良好、在生长结束前发现的放射学病变轻微的病例，建议采用运动疗法并进行反复的临床放射学随访。治疗中驼背的进展或存在重要的椎体结构病变使得有必要进行骨科治疗，这与驼背角度超过40度、伴有中度或重度椎体病变的严重病例相同。
