青少年异常学变脊椎病的背痛:频率和危险因素
Stefan Sarkovich1, Claudia Leonardi2,3, Matthew Darlow2
1Graduate Medical Education, HCA Florida Bayonet Point Hospital, 14000 Fivay Rd, Hudson, FL, 34667, USA. Stefansarkovich4@gmail.com.
Spine deformity
|June 23, 2024
概括
近一半的青少年异常学脊椎病 (AIS) 患者报告背部疼痛,比一般青少年人口更高的患病率. 疼痛在老年患者,医疗补助保险患者和腰部曲线患者中更常见.
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
- 儿科脊柱疾病 儿科脊柱疾病
背景情况:
- 背部疼痛是青少年特异性脊椎病 (AIS) 的常见投诉.
- 在AIS中影响背痛的因素,包括曲线特征,需要进一步调查.
- 了解疼痛患病率和相关因素对于患者咨询和管理至关重要.
研究的目的:
- 为了确定AIS患者背痛的患病率和严重程度.
- 确定患者特征,包括曲线特异性因素,与AIS中背部疼痛风险增加有关.
- 在AIS患者中探索疼痛位置和曲线位置之间的关系.
主要方法:
- 对891名在2018年至2021年期间被诊断为AIS患者 (10-17岁) 的医疗记录的回顾性审查.
- 收集的数据包括人口统计,Lenke分类,主要冠状曲线,Risser阶段,维生素D水平和治疗史.
- 排除标准:之前的脊柱手术. 研究水平:预测II. 研究水平:预测II.
主要成果:
- 48.5%的AIS患者报告背部疼痛,平均严重程度在低至中度范围内.
- 疼痛在老年患者 (>13岁),医疗补助保险患者和较高Risser分数患者中更为普遍.
- 腰部疼痛是最常见的 (56%),与更高的强度和腰部曲线相关;没有发现与曲线大小,Lenke类型,性别或维生素D缺乏的显著关联.
结论:
- 在新诊断的AIS患者中,背痛的患病率高于一般青少年人群.
- 疼痛在老年青少年,有医疗补助的青少年和腰部曲线的青少年中更常见.
- 需要进一步的研究来了解AIS背痛的原因和与保险相关的差异.
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