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[儿童特发性脊柱侧凸的治疗算法]

[Therapeutic algorithm of idiopathic scoliosis in children].

作者信息

Ciortan Ionica, Goţia D G

机构信息

Centrul medical IOWEMED Constanţa, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2008 Jan-Mar;112(1):111-4.

Abstract

Acquired deformations of spinal cord (scoliosis, kyphosis, lordosis) represent a frequent pathology in child; their treatment is complex, with variable results which depend on various parameters. Mild scoliosis, with an angle less than 30 degrees, is treated with physiotherapy and regular follow-up. If the angle is higher than 30 degrees, the orthopedic corset is required; the angle over 45 degrees impose surgically correction. The indications of every therapeutic method depend on many factors, the main target of the treatment is to prevent the aggravation of the curvature; concerning the surgery, the goal is to obtain a correction as normal as possible of the spinal axis.

摘要

脊髓获得性畸形(脊柱侧弯、驼背、脊柱前凸)是儿童常见的病理状况;其治疗复杂,结果因各种参数而异。角度小于30度的轻度脊柱侧弯采用物理治疗和定期随访。如果角度高于30度,则需要佩戴矫形支具;角度超过45度则需进行手术矫正。每种治疗方法的适应症取决于多种因素,治疗的主要目标是防止弯曲加重;关于手术,目标是尽可能使脊柱轴线恢复正常。

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