在成长中的脊柱的瘤和感染
Barbara Jasiewicz1, Ilkka Helenius2,3
1Department of Orthopaedics and Rehabilitation, Jagiellonian University Medical College, Zakopane, Poland.
Journal of children's orthopaedics
|December 5, 2023
概括
儿科脊柱瘤和感染虽然很罕见,但需要及时诊断和多学科护理. 儿童早期发现和治疗这些疾病对于改善结果和生活质量至关重要.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科瘤学 儿科瘤学
- 儿童传染病 儿童传染病
背景情况:
- 儿科脊柱的独特特征影响疾病的呈现.
- 脊柱瘤和感染是小儿背痛的不常见原因,但如果诊断延迟,可能会产生严重后果.
研究的目的:
- 审查儿科人口中脊髓瘤和感染的流行病学,诊断和管理.
- 突出早期和多学科管理对于改善患者治疗结果的重要性.
主要方法:
- 关于儿科脊柱瘤和感染的文献综述.
- 对诊断标准和治疗策略的分析.
- 讨论良性和恶性脊柱病变和常见的感染.
主要成果:
- 良性病变如骨质骨瘤在前20年更为常见;恶性瘤 (骨髓瘤,尤文肉瘤) 是罕见的.
- 5岁以下的椎间板炎峰值,年龄较大的儿童的脊椎骨髓炎; pyogenic spondylodiscitis是最常见的,但脊柱结核也与此相关.
- 保守的治疗对于许多脊髓炎病例来说已经足够了,但对于神经学缺陷,不稳定性或渐进的形,则有必要进行手术.
结论:
- 儿童的脊髓瘤和感染需要在持续的背痛和全身症状的情况下考虑.
- 迅速,多学科的管理,包括适当的外科切除和重建瘤,对于最佳的生存和生活质量至关重要.
- 结核病引起的脊髓瘤炎应与发烧性感染一起考虑,特别是在特有地区.
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