脊椎病是否是一种疼痛的来源?
Brice Ilharreborde1, Anne-Laure Simon1, Milud Shadi2
1Pediatric Orthopaedic Department, CHU Robert Debré, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris Cité University, Paris, France.
Journal of children's orthopaedics
|December 5, 2023
概括
脊椎形的疼痛是常见的,影响34.1%的患者. 脊柱曲率的严重程度与青少年异常脊柱病的背痛强度没有直接相关.
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
- 疼痛管理 疼痛管理
背景情况:
- 疼痛是脊椎病的一个重要问题,由于研究异质性,报告的患病率差异很大 (23% - 90%).
- 了解脊椎病和疼痛之间的关系对于有效的患者管理至关重要.
研究的目的:
- 审查现有的关于脊椎病疼痛的文献,不论病因.
- 分析一系列青少年异常学脊椎病患者的前景,与当前的文献进行比较.
主要方法:
- 在Medline和谷歌数据库 (2003-2023) 上进行了全面的文献搜索.
- 分析,总结和讨论了相关的研究.
- 纳入了青少年异常学脊椎病患者的一年前性研究.
主要成果:
- 这项研究包括126名青少年异常学脊椎病患者,他们的平均手术前科布角为64.5°.
- 报告的疼痛患病率为34.1%,疼痛 (5.6) 和无疼痛 (0.5) 组之间的视觉模拟尺度得分显著不同.
- 在疼痛和无疼痛组之间没有发现人口统计或放射学参数的显著差异.
结论:
- 关于脊椎病作为疼痛源的文献仍然含糊不清.
- 有一种共识是,脊柱形的大小与背部疼痛强度没有直接相关.
- 综合性患者评估,包括病史,检查和成像,对于经历疼痛的脊椎病患者至关重要.
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