Kim Hyoungmin, Chang Bong-Soon, Chang Sam Yeol
Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea.
Asian Spine J. 2024 Oct;18(5):731-742. doi: 10.31616/asj.2024.0367. Epub 2024 Oct 22.
Adolescent idiopathic scoliosis (AIS) is a three-dimensional deformity of unknown etiology that commonly affects adolescents, imposing significant socioeconomic burdens. Effective management necessitates a comprehensive approach that takes into account multiple factors, including growth potential and psychological issues. Despite significant advancements in AIS management, several questions regarding optimal treatment strategies persist. Recent technological advancements are transforming the treatment landscape, encompassing advancements in bracing, robotic-assisted deformity corrections, and other interventions. This review explores current issues debated in the literature concerning the treatment of AIS, focusing on contemporary high-level evidence (e.g., meta-analyses and randomized controlled trials). Furthermore, this review explores cutting-edge developments and future directions in AIS management, including the integration of artificial intelligence and augmented reality.
青少年特发性脊柱侧凸（AIS）是一种病因不明的三维畸形，通常影响青少年，带来重大的社会经济负担。有效的管理需要一种综合方法，该方法要考虑到多个因素，包括生长潜力和心理问题。尽管在AIS管理方面取得了重大进展，但关于最佳治疗策略的几个问题仍然存在。最近的技术进步正在改变治疗格局，包括支具、机器人辅助畸形矫正和其他干预措施的进展。本综述探讨了文献中关于AIS治疗的当前争议问题，重点关注当代高级别证据（如荟萃分析和随机对照试验）。此外，本综述还探讨了AIS管理的前沿发展和未来方向，包括人工智能和增强现实的整合。
