Launay Franck, Viehweger Elke, Glard Yann, Guillaume Jean-Marc, Jouve Jean-Luc, Bollini Gérard
Service de Chirurgie Orthopédique, Hôpital de la Timone Enfants, Marseille.
Rev Prat. 2006 Jan 31;56(2):141-5.
The diagnosis of scoliosis is based on the association of kyphosis, vertebral rotation, and lateral deviation of the spine. The clinical examination has to be rigorous in order to rule out a potential etiology for this tridimensional deformity. The assessment of the growth, and of the progressive nature of the scoliosis, is essential before any treatment. For minor deformities, a simple clinical monitoring will be necessary. On the other hand, for moderate deformities, a non-surgical treatment with brace will be recommended. Finally, for severe deformities, the treatment will be a surgical treatment. Surgery will consist of a spinal arthrodesis.
脊柱侧弯的诊断基于脊柱后凸、椎体旋转和脊柱侧方偏移的联合表现。临床检查必须严格，以排除这种三维畸形的潜在病因。在进行任何治疗之前，评估脊柱侧弯的进展情况和生长情况至关重要。对于轻度畸形，简单的临床监测即可。另一方面，对于中度畸形，建议使用支具进行非手术治疗。最后，对于重度畸形，治疗方法将是手术治疗。手术将包括脊柱融合术。
