Campbell Jeffrey W
Division of Pediatric Neurosurgery, Nemours/AI duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA.
Neurosurg Clin N Am. 2022 Jan;33(1S):e1-e10. doi: 10.1016/j.nec.2022.02.001. Epub 2022 Aug 6.
Many of the skeletal dysplasias impact the spinal column causing scoliosis, kyphosis, stenosis, and/or instability at various segments of the spine. Understanding how a particular dysplasia is likely to manifest is important to ensure proper screening and treatment decisions. Equally important is understanding the natural history of specific spine abnormalities, such as awareness of the resolution of the cervical kyphosis common to infants with diastrophic dysplasia. Many patients with rarer dysplasias are best cared for by teams of providers including neurosurgeons, orthopedic surgeons, geneticists, pulmonologist, and anesthesiologists who are familiar with the various issues surrounding each particular dysplasia.
许多骨骼发育异常会影响脊柱，导致脊柱侧弯、后凸、椎管狭窄和/或脊柱各节段不稳定。了解特定发育异常可能的表现形式对于确保进行适当的筛查和治疗决策非常重要。同样重要的是了解特定脊柱异常的自然病程，比如知晓患畸形性发育不良的婴儿常见的颈椎后凸的缓解情况。许多患有罕见发育异常的患者最好由包括神经外科医生、骨科医生、遗传学家、肺科医生和麻醉医生在内的医疗团队来护理，这些医生要熟悉围绕每种特定发育异常的各种问题。
