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小儿骨科患者脊柱畸形的外科治疗

Surgical Treatment of Spinal Deformities in Pediatric Orthopedic Patients.

作者信息

Braun Sebastian, Brenneis Marco, Schönnagel Lukas, Caffard Thomas, Diaremes Panagiotis

机构信息

Department of Orthopedics (Friedrichsheim), University Hospital Frankfurt, Goethe University, 60590 Frankfurt am Main, Germany.

Stavros Niarchos Complex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY 10021, USA.

出版信息

Life (Basel). 2023 Jun 7;13(6):1341. doi: 10.3390/life13061341.

DOI:10.3390/life13061341
PMID:37374124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10302009/
Abstract

Scoliosis and Scheuermann's disease are common spinal deformities that affect a substantial population, particularly adolescents, often impacting their quality of life. This comprehensive review aims to present a detailed understanding of these conditions, their diagnosis, and various treatment strategies. Through an extensive exploration of current literature, the review discusses the etiology of these spinal deformities and the use of diagnostic tools such as X-rays and MRI. It further delves into the range of treatment options available, from conservative approaches such as physiotherapy and bracing to more invasive surgical interventions. The review underscores the necessity of an individualized treatment approach, taking into account factors such as the patient's age, the severity of the curvature, and overall health. This all-encompassing perspective on scoliosis and Scheuermann's disease will aid in evidence-based decision making in their management with the goal of improving patient outcomes.

摘要

脊柱侧弯和休门氏病是常见的脊柱畸形,影响着相当一部分人群,尤其是青少年,常常对他们的生活质量产生影响。本综述旨在详细阐述这些病症、其诊断方法以及各种治疗策略。通过广泛研读当前文献,该综述探讨了这些脊柱畸形的病因以及诸如X光和核磁共振成像等诊断工具的使用。它进一步深入研究了现有的一系列治疗选择,从物理治疗和支具等保守方法到更具侵入性的手术干预。该综述强调了采取个性化治疗方法的必要性,要考虑到患者年龄、侧弯严重程度和整体健康状况等因素。这种对脊柱侧弯和休门氏病的全面观点将有助于在其治疗过程中基于证据做出决策,目标是改善患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/1b792278e3a8/life-13-01341-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/fb5586a2c874/life-13-01341-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/dbc6927fe536/life-13-01341-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/11923a7cb73f/life-13-01341-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/4bcb2f1cc4de/life-13-01341-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/dcf61a254e70/life-13-01341-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52b5/10302009/e5c042694aaf/life-13-01341-g010.jpg
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本文引用的文献

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Halo-pelvic traction in the treatment of severe scoliosis: a meta-analysis.头盆环牵引治疗重度脊柱侧凸:荟萃分析。
Eur Spine J. 2023 Mar;32(3):874-882. doi: 10.1007/s00586-023-07525-7. Epub 2023 Jan 9.
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Comparative efficacy and complications of single and dual growing rods for early-onset scoliosis: an updated meta-analysis.早期脊柱侧凸单节段和双节段生长棒的比较疗效及并发症:一项更新的荟萃分析
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[Scheuermann's disease].[休曼氏病]
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