Shaughnessy W J
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55902.
Curr Opin Rheumatol. 1993 May;5(3):301-8. doi: 10.1097/00002281-199305030-00007.
Knowledge regarding the etiology, natural history, evaluation, and treatment of adolescent idiopathic scoliosis continues to accumulate. Although the etiology of scoliosis remains unknown, spinal cord and brainstem pathology may play a role in its development. Natural history studies have confirmed earlier reports documenting respiratory failure in patients with curves of greater than 110 degrees. Screening tests are becoming more specific, limiting the number of unnecessary referrals. Surgical treatment has been advanced by the introduction of new instrumentation systems that attempt to correct spinal deformity in three dimensions. Unfortunately, problems such as postoperative decompensation have raised new questions that remain only partially answered.
关于青少年特发性脊柱侧凸的病因、自然病史、评估和治疗的知识不断积累。虽然脊柱侧凸的病因仍不清楚，但脊髓和脑干病变可能在其发展过程中起作用。自然病史研究证实了早期报告，即记录了侧弯大于110度的患者出现呼吸衰竭。筛查测试变得更加精确，减少了不必要转诊的数量。通过引入试图在三维空间矫正脊柱畸形的新器械系统，手术治疗取得了进展。不幸的是，诸如术后失代偿等问题提出了新的问题，这些问题仍只有部分得到解答。
