在30年后的随访中,中度脊椎病继续进展:令人担忧吗?
Christopher Alcala1, Amir A Mehbod2, Omar Ramos2
1Twin Cities Spine Center, 913 E. 26th Street, #600, Minneapolis, MN, 55404, USA. research@tcspine.com.
Spine deformity
|September 27, 2023
概括
30°至50°之间的青少年异常学脊椎病 (AIS) 曲线倾向于随着时间的推移而进展,胸部曲线最初进展得更快. 尽管病情进展,但大多数患者经历了最小的功能限制和长期疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 青少年异常学脊椎病 (AIS) 是一种脊柱形,需要长期评估结果.
- 了解中度AIS曲线 (30°-50°) 的自然史对于治疗决策至关重要.
研究的目的:
- 评估被诊断患有AIS和脊柱曲线在30°至50°之间的患者的长期放射和临床结果.
- 根据其自然进展来确定对中度AIS曲线的干预是否有必要.
主要方法:
- 在一个单一的机构进行了一项纵向的描述性研究.
- 在20年和30年的随访中,审查了患者因素,放射性参数 (科布角度) 和患者报告的结果.
- 包括31名患有AIS和30°至50°之间的初始曲线的患者.
主要成果:
- 在骨成熟时,胸部的中等Cobb角为35°,腰部的Cobb角为33°.
- 在平均35年的随访中,29%的患者的曲线>50°,在胸部和腰部地区均观察到进展.
- 尽管曲线进展,但很少有患者报告功能限制 (罗兰·莫里斯,奥斯韦斯特里,SF36得分),疼痛得分很小.
结论:
- 在骨成熟时,AIS曲线在30°至50°之间显示出进展的趋势.
- 胸部曲线显示出最初的快速进展,随后是减缓,而腰部曲线最初进展较慢,但后来增加.
- 虽然中度AIS曲线可以进展,但长期来看,功能限制和疼痛似乎是最小的,因此需要进一步跟踪确定最终结果.
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