儿童和青少年的肌肉骨问题:青少年异常脊椎病
Julie Creech-Organ1, Jeffrey C Leggit2
1Saint Louis University (Southwest Illinois) Family Medicine Residency, Belleville, Illinois.
青少年固态脊柱病 (AIS) 是一个常见的脊柱状况在老年儿童. 通过查和体检进行早期检测,可以根据曲线的严重程度指导适当的治疗,从物理治疗到手术.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科脊柱手术 儿科脊柱手术
- 青少年健康 青少年健康
背景情况:
- 青少年无形脊柱脊柱病 (AIS) 是10岁以上儿童中最常见的脊柱形.
- AIS涉及侧脊曲率≥10°,没有先天性或神经肌肉原因.
- 目前的指导方针不建议对无症状青少年进行常规的AIS查.
研究的目的:
- 概述青少年特异性脊柱病的诊断和管理指南.
- 根据脊柱形的严重程度为干预提供一个明确的途径.
主要方法:
- 身体检查使用前向曲试验和脊柱计.
- 通过X射线进行放射性诊断,以测量科布角.
- 基于曲线大小的当前治疗建议的审查.
主要成果:
- 脊椎查可能涉及向前曲测试;5°-7°旋转保证X射线.
- 科布角 <20° 建议注意等待或物理治疗.
- 曲线20°-45°可能需要支架,而>40°-50°需要进行手术.
结论:
- AIS的诊断依赖于临床检查和放射科的科布角测量.
- 管理策略是根据严重程度的曲线量身定制的,从保守到外科手术.
- 及时干预对于青少年异常学脊椎病的最佳结果至关重要.
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