Wick Jane Maureen, Konze Julie, Alexander Kelly, Sweeney Chris
Shriners Hospital, Portland, OR, USA.
AORN J. 2009 Sep;90(3):347-76. doi: 10.1016/j.aorn.2009.06.019.
Most cases of scoliosis are diagnosed and treated during adolescence; many are detected in school screening programs. For a small percentage of children, however, the onset of scoliosis occurs much earlier than adolescence.Infantile scoliosis (ie, onset from birth to two years of age) and juvenile scoliosis (ie, onset from three to nine years of age) involve very different diagnoses and treatment regimens than adolescent scoliosis. Early onset scoliosis may resolve with growth or may require nonsurgical treatment (eg, orthosis, body cast); surgical intervention (eg, halo traction, growing rods, vertical expandable prosthetic titanium rib); or a combination of both.
大多数脊柱侧弯病例在青少年时期被诊断和治疗；许多是在学校筛查项目中被发现的。然而，对于一小部分儿童来说，脊柱侧弯的发病比青少年时期要早得多。婴儿型脊柱侧弯（即出生至两岁发病）和青少年型脊柱侧弯（即三岁至九岁发病）的诊断和治疗方案与青少年脊柱侧弯有很大不同。早发性脊柱侧弯可能随生长而自行缓解，也可能需要非手术治疗（如矫形器、石膏背心）；手术干预（如头环牵引、生长棒、垂直可扩张人工钛肋骨）；或两者结合。
