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7岁以下儿童脊柱侧弯的矫形治疗结果。关于75例病例

[Results of the orthopedic treatment of scoliosis in children under 7 years of age. Apropos of 75 cases].

作者信息

Mener G, Rigault P, Pouliquen J C, Tanguy D

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1986;72(5):355-66.

PMID:3786855
Abstract

Seventy five children suffering from scoliosis under the age of 7 years have been treated by the authors. The treatment was commenced before the age of 4 in infantile scoliosis and before the age of 6 in juvenile scoliosis. It was based on the use of the Milwaukee brace used directly in cases of angulation less than 50 degrees and preceded by a plaster cast in other cases. The treatment was continuous with sometimes a few hours of freedom from bracing. Occasionally the treatment had to be stopped. The development of the curve was very variable. The authors have distinguished seven different types of development. The prognosis was therefore difficult to establish and was mainly based on the specific features of the progress of the curve. At puberty, deterioration was often seen despite bracing and there were many indications for spine fusion.

摘要

作者已对75名7岁以下的脊柱侧弯儿童进行了治疗。对于婴儿型脊柱侧弯,治疗在4岁之前开始;对于青少年型脊柱侧弯,则在6岁之前开始。治疗方法是,对于角度小于50度的病例,直接使用密尔沃基支具;在其他情况下,则先使用石膏模型,再使用密尔沃基支具。治疗是持续进行的,有时会有几个小时不使用支具。偶尔治疗不得不中断。侧弯的发展情况非常多变。作者区分出了七种不同的发展类型。因此,预后很难确定,主要是基于侧弯进展的具体特征。在青春期,尽管使用了支具,仍经常出现病情恶化的情况,而且有许多进行脊柱融合术的指征。

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