儿科宫脊椎不稳定性:不断发展的概念
Yosef M Dastagirzada1, Alex Konigsberg2, Dominic Thompson3
1New York University Langone Medical Center, New York, USA. yosef.dastagirzada@nyulangone.org.
概括
儿科宫脊椎不稳定性缺乏明确的评估指南和治疗方法. 本综述考察了独特的儿科生物力学和不断发展的研究,重点关注唐氏综合征和奇亚里形.
科学领域:
- 整形外科和生物力学
- 儿科脊柱研究儿童脊柱研究
背景情况:
- 小儿宫脊椎与成人相比,具有独特的结构和生物力学特性.
- 目前用于评估椎脊柱不稳定性和儿童标准治疗方案的指导方针尚未明确.
- 儿科部脊柱疾病的罕见性和有限的多中心数据阻碍了标准化护理的发展.
研究的目的:
- 探索儿童椎脊柱的独特生物力学.
- 突出近几十年来儿科椎脊柱不稳定性的不断发展的概念和研究.
- 为患有唐氏综合征和复杂奇亚里形的队列提供特别的关注.
主要方法:
- 关于生物力学研究的综合文献综述.
- 对儿科宫脊椎评估和治疗的不断发展的研究趋势的分析.
- 对有关唐氏综合征和复杂奇亚里形群体的研究进行了集中审查.
主要成果:
- 确定了儿科椎脊柱的独特生物力学特征.
- 记录了小儿宫脊椎不稳定性的既定指南的缺乏.
- 突出了在儿童群体中管理这些疾病的具体研究进展和挑战,特别是那些患有唐氏综合征和奇亚里形的人.
结论:
- 儿科椎的独特生物力学需要专门的方法.
- 进一步的多中心研究至关重要,以建立基于证据的指导方针,对儿科宫脊椎不稳定.
- 了解像唐氏综合症和奇亚里形这样的特定群体对于推进护理至关重要.
相关概念视频
Vertebral Column: Regions and Curvature
3.6K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
3.6K
Sutures of the Skull
6.6K
The human skull is composed of several bones that come together to protect the brain and support the structures of the face. The junctions where these bones meet are called sutures.
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
Sutures are immobile joints between adjacent bones of the skull. The narrow gap between the bones is filled with dense, fibrous connective tissue that unites the bones. The long sutures located between the skull bones are not straight but instead follow irregular, tightly twisting paths. These twisting lines tightly...
6.6K
Articulations of the Vertebral Column
1.9K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
1.9K
Bone Formation by Intramembranous Ossification
5.9K
Intramembranous ossification is one of the two processes involved in the development of bones within an embryo. The flat bones of the face, most of the cranial bones, and the clavicles are formed via this process. During intramembranous ossification, the bones develop directly from sheets of undifferentiated mesenchymal connective tissue.
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into ...
The process begins when mesenchymal cells in the embryonic skeleton gather together and differentiate into osteogenic cells, which then develop into ...
5.9K


