Tanaka T
Department of Orthopaedic Surgery, Chiba University School of Medicine, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1988 Jan;62(1):9-22.
Non-operated cases of congenital scoliosis were analyzed to determine the prognosis. There were 114 males and 132 females with an average age of 8 years. Of these, 151 cases underwent brace treatment. One hundred and eighty-nine cases were followed with an average follow-up period of 5 years. Hemivertebrae were subdivided into 3 groups according to their radiological features. With this classification, the prediction of progression was possible. A unilateral bar and a bar with contralateral hemivertebra had unfavorable prognosis as described in the literature. The unclassifiable type showed progression in more than 50% of cases, but prediction was difficult. Curves with incomplete block vertebrae, clinically recognized as disc space narrowing, were considered to be a specific type of congenital scoliosis which sometimes revealed a rapid progression during the adolescent growth spurt.
对先天性脊柱侧凸的非手术病例进行分析以确定预后。共有114例男性和132例女性，平均年龄8岁。其中，151例接受了支具治疗。189例进行了随访，平均随访期为5年。半椎体根据其放射学特征分为3组。通过这种分类，可以预测病情进展。如文献所述，单侧棒及对侧半椎体伴棒的预后不良。无法分类的类型在超过50%的病例中出现进展，但预测困难。具有不完全分节椎骨的曲线，临床上表现为椎间盘间隙变窄，被认为是先天性脊柱侧凸的一种特殊类型，有时在青春期生长突增期间会出现快速进展。
