摘要
脊柱侧弯是在冠状面(后前位X线片)上Cobb角至少10°的三维脊柱畸形,临床上最常见的是特发性脊柱侧弯,所谓特发性是指没有明确的病因。熟悉并认知脊柱侧弯历史,将利于理解脊柱侧弯诊治的现状及在未来如何解决相关的问题。过去20年,特发性脊柱侧弯的影像评估、内植物研发、临床分型、矫形技术等已取得了很大进步并被广泛接受,但特发性脊柱侧弯的病因、手术策略等依然存在争议。现对特发性脊柱侧弯(包括青少年特发性脊柱侧弯和早发脊柱侧弯)的历史进行简要回顾、总结矫治技术现状及存在的问题。预计在不远的将来,脊柱侧弯病因学和自然转归研究、微创矫治技术及生长棒技术可能会获得更多关注并取得突破性进展。
Scoliosis is a 3D deformity of the spine measuring at least 10°of angulation on the posterior-anterior radiograph.Idiopathic scoliosis,the most common one,is the type without definite cause.Histories make men wise,and the course of learning about scoliosis helps us to understand the current problems in its diagnosis and treatment and enhances the development of future modalities.In the past 2 decades,great achievements have been made in imaging,instrumentation,classification,and corrective techniques for idiopathic scoliosis,which have provided new insights on the diagnosis and management of this condition,but its etiology and surgical strategy still remain controversial.So,in this article,we review the general history of idiopathic scoliosis(including adolescent idiopathic scoliosis and early onset scoliosis),summarize the current status and problems in order to provide guidance on the available surgical alternatives to address these conditions.In the near future,strategies should be focused on the etiology and natural history of idiopathic scoliosis,minimally invasive surgery techniques for adolescent idiopathic scoliosis and the development of growth friendly implants for early onset scoliosis.
作者
许建中
XU Jianzhong(Department of Orthopaedics,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2019年第19期1855-1858,共4页
Journal of Third Military Medical University
关键词
青少年特发性脊柱侧弯
早发脊柱侧弯
分型
微创手术
adolescent idiopathic scoliosis
early onset scoliosis
classification
minimally invasive surgery
