Mehta M H
Institute of Orthopaedics, Royal National Orthopaedic Hospital Trust, Brockley Hill, Stanmore, U.K.
Acta Orthop Belg. 1992;58 Suppl 1:91-7.
Juvenile Idiopathic Scoliosis is not a single diagnostic entity but comprises a number of different types of scoliosis. Although detected in the juvenile years, the study of 56 cases shows that in the majority the onset of the scoliosis can be traced back to infancy. It is proposed that the aim of conservative treatment should be to eradicate the deformity and not be content with preventing progression. The principle of using the child's growth as a corrective force to eradicate the deformity is described. An outline of early treatment by corrective plaster jackets is given.
青少年特发性脊柱侧凸并非单一的诊断实体,而是包含多种不同类型的脊柱侧凸。尽管在青少年时期被发现,但对56例病例的研究表明,大多数情况下脊柱侧凸的发病可追溯到婴儿期。有人提出,保守治疗的目标应该是根除畸形,而不是满足于防止病情进展。文中描述了利用儿童生长作为矫正力来根除畸形的原则。还给出了使用矫正石膏背心进行早期治疗的概述。