儿童躯干组织扩张重建会增加脊柱侧弯风险吗？
Can Tissue Expansion Reconstruction in the Trunk of Children Increase the Risk of Scoliosis?
作者信息
Yen Paul, Bucevska Marija, Reilly Christopher, Verchere Cynthia
机构信息
Division of Pediatric Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
出版信息
Plast Surg (Oakv). 2021 May;29(2):88-97. doi: 10.1177/2292550320933671. Epub 2020 Jun 26.
INTRODUCTION
We hypothesize that treatment of significant truncal lesions with truncal tissue expanders and subsequent flap surgery in pediatric patients may increase the risk of scoliosis. This study aims to investigate any relationship between tissue expansion (TE) and scoliosis and to compare the prevalence of scoliosis in our tissue expander population to the general population.
METHODS
Health records of patients who underwent truncal TE at BC Children's Hospital between 1997 and 2017 were retrospectively reviewed and analyzed. The cross-sectional component of the study consisted of radiological imaging to establish the presence or absence of scoliosis.
RESULTS
We identified 28 patients who underwent truncal TE over the study period. Ten had a scoliosis X-ray on their chart or as a part of the study. Three (10.7%) patients were identified as having developed scoliosis after TE.
CONCLUSIONS
We recommend that pediatric TE patients be made aware of the potential complication of scoliosis and be followed closely in the years during and after their treatment, in order to allow for preventative measures, early diagnosis and early management (if required).
引言
我们假设，在儿科患者中使用躯干组织扩张器治疗严重的躯干病变并随后进行皮瓣手术可能会增加脊柱侧弯的风险。本研究旨在调查组织扩张（TE）与脊柱侧弯之间的关系，并将我们组织扩张器治疗人群中脊柱侧弯的患病率与一般人群进行比较。
方法
回顾性分析1997年至2017年在卑诗省儿童医院接受躯干TE治疗的患者的健康记录。该研究的横断面部分包括通过放射影像学检查确定是否存在脊柱侧弯。
结果
在研究期间，我们确定了28例接受躯干TE治疗的患者。其中10例在其病历中有脊柱侧弯X光片或作为研究的一部分。3例（10.7%）患者在TE治疗后被确定发生了脊柱侧弯。
结论
我们建议告知儿科TE治疗患者脊柱侧弯的潜在并发症，并在治疗期间及之后的几年中密切随访，以便采取预防措施、进行早期诊断和早期处理（如有需要）。
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