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弗里德赖希共济失调中脊柱侧弯的发病率、自然史及治疗

Incidence, natural history, and treatment of scoliosis in Friedreich's ataxia.

作者信息

Cady R B, Bobechko W P

出版信息

J Pediatr Orthop. 1984 Nov;4(6):673-6. doi: 10.1097/01241398-198411000-00003.

DOI:10.1097/01241398-198411000-00003
PMID:6511892
Abstract

We carried out a retrospective study of 42 patients with documented Friedreich's ataxia to answer four questions: what is the incidence and natural history of scoliosis in Friedreich's ataxia, and what are the results of operative and nonoperative treatment? We concluded that the incidence of scoliosis in true Friedreich's ataxia is extremely high. The curves tend to progress with the severity of the disease and often tend to progress after skeletal maturity. Bracing and electrospinal instrumentation have no role in treatment. Patients with progressive curves should have early surgical stabilization.

摘要

我们对42例有记录的弗里德赖希共济失调患者进行了一项回顾性研究,以回答四个问题:弗里德赖希共济失调中脊柱侧凸的发病率和自然史是什么,手术和非手术治疗的结果如何?我们得出结论,真正的弗里德赖希共济失调中脊柱侧凸的发病率极高。曲线往往随着疾病的严重程度而进展,并且在骨骼成熟后往往仍会进展。支具和电刺激脊柱器械在治疗中不起作用。有进展性曲线的患者应尽早进行手术稳定。

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