脑瘫患儿脊柱侧弯的管理：综述
The management of scoliosis in children with cerebral palsy: a review.
作者信息
Cloake Thomas, Gardner Adrian
机构信息
The Royal Orthopaedic Hospital, Birmingham, UK.
出版信息
J Spine Surg. 2016 Dec;2(4):299-309. doi: 10.21037/jss.2016.09.05.
Abstract
Children who suffer with cerebral palsy (CP) have a significant chance of developing scoliosis during their early years and adolescence. The behavior of this scoliosis is closely associated with the severity of the CP disability and unlike idiopathic scoliosis, it continues to progress beyond skeletal maturity. Conservative measures may slow the progression of the curve, however, surgery remains the only definitive management option. Advances in surgical technique over the last 50 years have provided methods to effectively treat the deformity while also reducing complication rates. The increased risk of surgical complications with these complex patients make decisions about treatment challenging, however with careful pre-operative optimization and post-operative care, surgery can offer a significant improvement in quality of life. This review discusses the development of scoliosis in CP patient, evaluates conservative and surgical treatment options and assesses post-operative outcome.
摘要
患有脑瘫（CP）的儿童在其早年和青春期有很大几率患上脊柱侧弯。这种脊柱侧弯的表现与脑瘫残疾的严重程度密切相关，与特发性脊柱侧弯不同，它在骨骼成熟后仍会继续发展。保守措施可能会减缓侧弯的进展，然而，手术仍然是唯一确定的治疗选择。过去50年手术技术的进步提供了有效治疗畸形同时降低并发症发生率的方法。这些复杂患者手术并发症风险的增加使得治疗决策具有挑战性，然而，通过仔细的术前优化和术后护理，手术可以显著改善生活质量。这篇综述讨论了脑瘫患者脊柱侧弯的发展，评估了保守和手术治疗选择，并评估了术后结果。
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