Kehl D K, Morrissy R T
Scottish Rite Children's Hospital, Atlanta, GA 30363.
Clin Orthop Relat Res. 1988 Apr(229):34-43.
Correct guidelines for the initiation and evaluation of brace treatment in adolescent idiopathic scoliosis are dependent on a thorough knowledge of the condition's natural history. Recently acquired data from school children screening programs and long-term follow-up studies of idiopathic scoliosis have added new insight to the natural history of the condition. This new information has raised questions concerning the validity of previous treatment guidelines and has led to changes concerning patient selection and indications for brace initiation, type of spinal orthotic used, duration of brace treatment, brace-wear programs, and anticipated results from bracing. Proper application of this new knowledge allows the physician to avoid overdiagnosis and overtreatment and to become more efficient in the use of spinal orthoses.
青少年特发性脊柱侧弯支具治疗的启动和评估的正确指南取决于对该疾病自然史的全面了解。最近从学童筛查项目和特发性脊柱侧弯的长期随访研究中获得的数据为该疾病的自然史增添了新的见解。这些新信息引发了关于先前治疗指南有效性的问题，并导致了患者选择、支具启动指征、使用的脊柱矫形器类型、支具治疗持续时间、支具佩戴方案以及支具预期效果等方面的变化。正确应用这些新知识可使医生避免过度诊断和过度治疗，并提高脊柱矫形器的使用效率。
