青少年特发性脊柱侧弯的有效非手术治疗

Effective nonoperative treatment in juvenile idiopathic scoliosis.

作者信息

van Hessem Lotte, Schimmel Janneke J P, Graat Harm C A, de Kleuver Marinus

机构信息

Departments of aOrthopaedic Surgery bResearch, Sint Maartenskliniek, Nijmegen cDepartment of Orthopaedic Surgery, VU University Medical Centre, Amsterdam, The Netherlands.

出版信息

J Pediatr Orthop B. 2014 Sep;23(5):454-60. doi: 10.1097/BPB.0000000000000077.

DOI:10.1097/BPB.0000000000000077

PMID:24977944

Abstract

Nonoperative management of juvenile idiopathic scoliosis (JIS) has been reported to be less effective than that of infantile idiopathic scoliosis. The goal of this study was to analyse the results of casting and/or bracing in JIS. Clinical data from seven patients with JIS, treated with casting followed by bracing (n=3) or by bracing alone (n=4), were retrospectively collected, and curve severity was measured before, during and after treatment. The median Cobb angle decreased from 37° to 25°. No patient needed surgery at a median follow-up of 4.6 years (3.4-9.1 years). Casting and/or bracing is effective for the management of JIS.

摘要

据报道，青少年特发性脊柱侧凸（JIS）的非手术治疗效果不如婴儿特发性脊柱侧凸。本研究的目的是分析JIS患者石膏固定和/或支具治疗的结果。回顾性收集了7例JIS患者的临床资料，这些患者接受了石膏固定后再使用支具治疗（n = 3）或仅使用支具治疗（n = 4），并在治疗前、治疗期间和治疗后测量了脊柱侧弯严重程度。Cobb角中位数从37°降至25°。在中位随访4.6年（3.4 - 9.1年）期间，没有患者需要手术。石膏固定和/或支具治疗对JIS的治疗有效。