Sponseller Paul D, Akbarnia Behrooz A, Lenke Lawrence G, Wollowick Adam L
Department of Orthopaedic Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Instr Course Lect. 2012;61:481-97.
Pediatric spinal deformity is an integral part of orthopaedic surgical practice. In a general or specialized practice, the well-versed orthopaedic surgeon should be aware of the diagnostic methods and the natural history from which practice standards are derived. It is important to be aware of the spectrum of spinal deformity in children (from early-onset scoliosis to adolescent idiopathic scoliosis, kyphosis, and spondylolisthesis) and current principles of growth and maturation as applied to the spine and the thorax. This information should be helpful in attaining the appropriate diagnosis, treatment, and/or referral for a pediatric patient with a spinal deformity.
小儿脊柱畸形是骨科手术实践的一个重要组成部分。在普通或专科临床实践中,经验丰富的骨科医生应了解诊断方法以及从中得出实践标准的自然病史。了解儿童脊柱畸形的范围(从早发性脊柱侧弯到青少年特发性脊柱侧弯、后凸畸形和椎体滑脱)以及应用于脊柱和胸廓的生长与成熟的当前原则非常重要。这些信息应有助于对患有脊柱畸形的小儿患者进行适当的诊断、治疗和/或转诊。