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青少年特发性脊柱侧凸:生长速度加快是进展的触发因素吗?

Adolescent idiopathic scoliosis: is rising growth rate the triggering factor in progression?

机构信息

Children's Research Centre, Our Lady's Hospital for Sick Children, Dublin, Ireland.

出版信息

Eur Spine J. 1993 Jun;2(1):29-36. doi: 10.1007/BF00301052.

DOI:10.1007/BF00301052
PMID:20058445
Abstract

The school scoliosis screening programme at Our Lady's Hospital for Sick Children, Dublin, has provided material for an ongoing prospective natural history study of adolescent idiopathic scoliosis. An examination of the clinical course in 339 girls showed that observation of progression of at least 10 degrees, which occurred in 46 girls (13.6%), depended on the timing of diagnosis and related primarily to the child's position on her growth rate curve and her pubertal status, and much less to skeletal maturity as interpreted by iliac crest ossification or bone age. This has implications for the understanding of results in conservative management, screening programmes and natural history.

摘要

都柏林的圣母儿童医院脊柱侧凸筛查项目为青少年特发性脊柱侧凸的前瞻性自然史研究提供了资料。对 339 名女孩的临床病程进行检查发现,至少进展 10 度的观察(发生在 46 名女孩中,占 13.6%)取决于诊断时间,主要与孩子的生长速率曲线位置和青春期状态有关,而与髂嵴骨化或骨龄判断的骨骼成熟度关系不大。这对理解保守治疗、筛查计划和自然史的结果具有重要意义。

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Adolescent idiopathic scoliosis: is rising growth rate the triggering factor in progression?青少年特发性脊柱侧凸:生长速度加快是进展的触发因素吗?
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引用本文的文献

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Narra J. 2023 Dec;3(3):e217. doi: 10.52225/narra.v3i3.217. Epub 2023 Nov 6.
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Lateral Semicircular Canal Asymmetry in Idiopathic Scoliosis: An Early Link between Biomechanical, Hormonal and Neurosensory Theories?特发性脊柱侧凸中半规管不对称:生物力学、激素和神经感觉理论之间的早期联系?
PLoS One. 2015 Jul 17;10(7):e0131120. doi: 10.1371/journal.pone.0131120. eCollection 2015.
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Accelerated endochondral growth in adolescents with idiopathic scoliosis: a preliminary histomorphometric study.

本文引用的文献

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Interrelationships of skeletal maturation, sexual development and somatic growth in man.人类骨骼成熟、性发育与身体生长的相互关系。
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The iliac apophysis and the evolution of curves in scoliosis.髂骨骨突与脊柱侧凸曲线的演变
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The Iliac apophysis; an invaluable sign in the management of scoliosis.髂骨骨骺;脊柱侧弯治疗中一项重要的体征。
特发性脊柱侧凸青少年软骨内生长加速:一项初步组织形态计量学研究。
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Biomechanical analysis and modeling of different vertebral growth patterns in adolescent idiopathic scoliosis and healthy subjects.青少年特发性脊柱侧弯和健康受试者不同椎体生长模式的生物力学分析与建模
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Pathogenesis of adolescent idiopathic scoliosis in girls - a double neuro-osseous theory involving disharmony between two nervous systems, somatic and autonomic expressed in the spine and trunk: possible dependency on sympathetic nervous system and hormones with implications for medical therapy.女孩青少年特发性脊柱侧凸的发病机制——一种双重神经-骨理论,涉及躯体和自主两个神经系统之间的不协调,在脊柱和躯干中表现出来:可能依赖交感神经系统和激素,对医学治疗具有启示意义。
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Scoliosis: a review.脊柱侧弯:综述
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Biomechanical spinal growth modulation and progressive adolescent scoliosis--a test of the 'vicious cycle' pathogenetic hypothesis: summary of an electronic focus group debate of the IBSE.脊柱生物力学生长调节与青少年进行性脊柱侧弯——“恶性循环”发病机制假说的验证:国际脊柱侧弯研究学会电子焦点小组辩论总结
Scoliosis. 2006 Oct 18;1:16. doi: 10.1186/1748-7161-1-16.
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Association between adolescent idiopathic scoliosis prevalence and age at menarche in different geographic latitudes.不同地理纬度下青少年特发性脊柱侧凸患病率与初潮年龄之间的关联。
Scoliosis. 2006 May 23;1:9. doi: 10.1186/1748-7161-1-9.
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Adolescent idiopathic scoliosis as developmental instability.青少年特发性脊柱侧凸作为发育性不稳定。
Genetica. 1995;96(3):247-55. doi: 10.1007/BF01439579.
Clin Orthop. 1958;11:111-9.
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Idiopathic scoliosis; the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset.特发性脊柱侧凸;与侧弯类型及发病年龄相关的预后、诊断和手术指征。
J Bone Joint Surg Br. 1954 Feb;36-B(1):36-49. doi: 10.1302/0301-620X.36B1.36.
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Pilot study for a scoliosis screening project in South Dublin.
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Growth landmarks and the evolution of scoliosis: a review of pertinent studies on their usefulness.生长标志与脊柱侧弯的演变:关于其效用的相关研究综述
Dev Med Child Neurol. 1980 Oct;22(5):675-84. doi: 10.1111/j.1469-8749.1980.tb04385.x.
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Treatment of idiopathic scoliosis in the Milwaukee brace.密尔沃基支具治疗特发性脊柱侧弯
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School scoliosis screening: a review of 21,000 children.
Ir Med J. 1983 May;76(5):247-9.
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The prediction of curve progression in untreated idiopathic scoliosis during growth.生长期间未经治疗的特发性脊柱侧凸曲线进展的预测
J Bone Joint Surg Am. 1984 Sep;66(7):1061-71.
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Multicenter trial of a noninvasive stimulation method for idiopathic scoliosis. A summary of early treatment results.
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