南方微创脊柱外科|青少年特发性脊柱侧弯知多少( 二 )


3.手术治疗 , 术治疗方式多种多样 , 但是无论何种术式 , 都致力于干预侧弯曲度进行性加重 , 最大程度地保持躯干的平衡性与三维层面上稳定的畸形矫正效果 , 且减少长短期并发症 , 纠正患者心理自卑恐惧 , 生活欠自理等多方面问题 。 临床医生会个体化 , 全面化评估患者是否需手术治疗 。 根据患者年龄 , 性别 , 骨骼发育情况 , 侧弯分类及受累阶段的位置及数量 , 心肺功能及内分泌情况 , 严格掌握手术指征 , 以免过度治疗或盲目手术给患者带来身体、心理及经济上不必要的伤害 。
青少年特发性脊柱侧弯的病因虽尚未明确 , 但诊治手段多样 , 且随着时代发展技术日益成熟 , 医生可根据患者的“个性化”合理选择诊疗手段 ,
【南方微创脊柱外科|青少年特发性脊柱侧弯知多少】参考文献:
[1] Byrd JA 3rd, Scoles PV, Winter RB, et al. Adult idiopathic scoliosis treated by anterior and posterior spinal fusion[J]. Bone Joint Surg, 1987, 69(6):843-850.
[2] de Mendon?a RG, Sawyer JR, Kelly DM. Complications after surgical treatment of adolescent idiopathic scoliosis[J]. Orthop Clin North Am, 2016, 47(2):395-403.
[3] Glassman SD, Carreon LY, Shaffrey CI, et al. The costs and benefits of nonoperative management for adult scoliosis[J]. Spine, 2010, 35(5): 578-582.
[4] Cundy TP, Antoniou G, Sutherland LM, et al. Serum titanium, niobium and aluminium levels following instrumented spinal arthrodesis in children[J]. Spine (Phila Pa 1976), 2013, 38(7):564-570.
[5] Bago J, Sanchez- Raya J, Sanchez Perez- Grueso F, et al. The trunkappearance perception scale (TAPS): a new tool to evaluate subjective impression of trunk deformity in patients with idiopathic scoliosis[J]. Scoliosis, 2010, 31(1 suppl): 61-68.
[6]Moon MS. Tuberculosis of spine: current views in diagnosis and management[J]. Asian Spine J, 2014, 8(1): 97-111.