仉建国. 先天性脊柱侧凸的研究进展[J]. 罕见病研究, 2023, 2(4): 463-468. DOI: 10.12376/j.issn.2097-0501.2023.04.001
引用本文: 仉建国. 先天性脊柱侧凸的研究进展[J]. 罕见病研究, 2023, 2(4): 463-468. DOI: 10.12376/j.issn.2097-0501.2023.04.001
ZHANG Jianguo. Research Progress of Congenital Scoliosis[J]. Journal of Rare Diseases, 2023, 2(4): 463-468. DOI: 10.12376/j.issn.2097-0501.2023.04.001
Citation: ZHANG Jianguo. Research Progress of Congenital Scoliosis[J]. Journal of Rare Diseases, 2023, 2(4): 463-468. DOI: 10.12376/j.issn.2097-0501.2023.04.001

先天性脊柱侧凸的研究进展

Research Progress of Congenital Scoliosis

  • 摘要: 先天性脊柱侧凸是先天性发育异常,其畸形多呈进展性,常合并全身多系统畸形。病因目前尚不明确。对于影像学诊断来说,X线、CT、MRI是常用的影像学检查方法。目前治疗手段包括保守治疗和手术治疗。其中,密切观察是监测病情进展的重要手段。石膏或支具等可用于治疗轻中度脊柱侧凸。对于严重、进展性的畸形,需要及时评估手术的必要性。制订手术方案时,要考虑患者的年龄、发育潜力、畸形位置及类型,常用的手术方式包括骨骺阻滞术、半椎体切除融合术、非融合手术及混合技术等。本文对先天性脊柱侧凸的病因、诊断、治疗作一总结。

     

    Abstract: Congenital scoliosis is an early-onset spinal deformity cauded by somitogenesis abnormalities. This disease is characterized by rapidly progressing in deformities, often accompanied by concurrent organ malformations. Current treatments include conservative treatment and surgical treatment. Various imaging technology-X-ray, CT, and MRI are used in the diagnosis of the disease. The majority of congential scoliosis deformities has a progressive nature so that close observation is vital and effective at the beginning. In cases of moderate congential scoliosis, non-invasive interventions, such as bracing and traction are effective. In surgery, factors such as age, growth potential and the specific location and type of deformity of individual patients are the basis for using such surgical procedures as epiphysiodesis, hemivertebra resection, growth-friendly techniques, and hybrid techniques in treatment. This paper makes a summery of the etiology pathogenesis, diagnosis and treatment of the congential scoliosis.

     

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