Balagué Federico, Pellisé Ferran
Department of Rheumatology, HFR Fribourg-Hôpital Cantonal, 1708 Fribourg, Switzerland ; University of Geneva, Geneva, Switzerland ; Department of Orthopedics, NYU, New York, USA.
Spine Unit, Hospital Vall Hebron, 08035 Barcelona, Spain ; Spine Unit Hospital Quirón, 08023 Barcelona, Spain.
Scoliosis Spinal Disord. 2016 Sep 9;11(1):27. doi: 10.1186/s13013-016-0086-7. eCollection 2016.
This broad narrative review addresses the relationship between adolescent idiopathic scoliosis (AIS) and back pain. AIS can be responsible for low back pain, particularly major cases. However, a linear relationship between back pain and the magnitude of the deformity cannot be expected for any individual patient. A large number of juvenile patients can remain pain-free. The long-term prognosis is rather benign for many cases and thus a tailored approach to the individual patient seems mandatory. The level of evidence available does not allow stringent recommendations for any of the disorders included in this review.
这篇广泛的叙述性综述探讨了青少年特发性脊柱侧凸(AIS)与背痛之间的关系。AIS可能导致下背痛,尤其是严重病例。然而,对于任何个体患者,不能预期背痛与畸形程度之间存在线性关系。大量青少年患者可能没有疼痛症状。许多病例的长期预后相当良好,因此针对个体患者采取量身定制的方法似乎是必要的。现有证据水平不允许对本综述中包含的任何疾病提出严格建议。