青少年脊柱压缩性脊柱炎:青少年背痛的诊断
Alexander H Jinnah1, Rosser McCallie1, Georges A Abdelahad1
1Wake Forest School of Medicine, Department of Orthopaedic Surgery, Winston Salem, North Carolina.
Journal of surgical orthopaedic advances
|October 30, 2024
概括
青少年脊柱压缩性形炎 (ACES) 可能解释青少年背部疼痛的增加,原因是身体姿势不佳,使用智能手机和背重的背包. 早期识别红旗和结构化治疗算法对于管理这种情况至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科脊柱疾病 儿科脊柱疾病
- 青少年背部疼痛的诊断挑战
背景情况:
- 青少年背部疼痛由于各种可能的原因,呈现出诊断挑战,从良性肌痛到严重的瘤或传染病过程.
- 在青少年背痛中错误诊断严重的潜在疾病的后果可能是严重和有害的.
- 在过去的十年中,在青少年中观察到智能手机使用量增加和背包使用量增加.
研究的目的:
- 建议青少年脊柱压缩性脊柱炎 (ACES) 作为青少年非特异性腰部疼痛的诊断.
- 识别和重申与青少年背部疼痛相关的关键红旗症状,需要进一步调查.
- 提出一种治疗算法,用于管理被诊断患有ACES或经历非特异性腰痛的青少年.
主要方法:
- 文献综述和理论表述,将生物力学力量与青少年的脊柱变化联系起来.
- 临床观察和分析患有非特异性腰部疼痛的患者表现.
- 基于临床经验和已确定的指导方针,开发一种诊断和治疗算法.
主要成果:
- 该研究理论上认为,不良姿势,增加智能手机使用和重型背包的综合因素有助于ACES的流行.
- ACES被提出为一个潜在的统一诊断,用于非特异性腰部疼痛的青少年的一个子集.
- 突出了青少年严重脊髓病理需要紧急治疗的关键红旗症状.
结论:
- ACES提供了一个理解和管理青少年非特异性腰痛的重要部分的框架.
- 坚持红旗症状识别至关重要,以避免错过关键诊断.
- 拟议的治疗算法为管理青少年背痛的临床医生提供了一个结构化的方法.
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